Individual
MR. TREBOR TAYLOR STRUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 382-1681
Mailing address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 382-1681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10005236
WA
363AS0400X
Surgical Physician Assistant
Primary
PA01425
OR
Other
Enumeration date
11/07/2007
Last updated
12/29/2008
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