Individual
MR. TREVOR TASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
5420 NE GLISAN ST, PORTLAND, OR 97213-3063
(503) 215-4033
Mailing address
3336 NE 88TH AVE, PORTLAND, OR 97220-5255
(661) 433-8455
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1023368
OR
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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