Individual
TRISHA EGBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 SW 110TH AVE STE 101, BEAVERTON, OR 97005-3033
(503) 329-2873
Mailing address
4400 SW 110TH AVE STE 101, BEAVERTON, OR 97005-3033
(503) 329-2873
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11145
OR
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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