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Individual

TREVOR ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5330 NE PRESCOTT ST, PORTLAND, OR 97218-2158
(503) 288-6585
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
OR

Other

Enumeration date
07/13/2018
Last updated
07/13/2018
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