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Individual

TREVOR SCOTT RACHKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP, MSN

Contact information

Practice address
44882 MISSION RD, PENDLETON, OR 97801-9293
(541) 429-0550
(541) 276-3093
Mailing address
44882 MISSION RD, PENDLETON, OR 97801-9293
(541) 429-0550
(541) 276-3093

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201909432NP-PP
OR

Other

Enumeration date
09/22/2019
Last updated
08/01/2022
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