Individual
SEAN TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
16348 NW CHARLAIS ST, BEAVERTON, OR 97006-7231
(503) 504-2275
Mailing address
16348 NW CHARLAIS ST, BEAVERTON, OR 97006-7231
(150) 350-4227
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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