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Individual

DANNY TREVITTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
900 MAIN ST STE 200, OREGON CITY, OR 97045-1869
(503) 765-2274
(503) 723-6653
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175T00000X
Peer Specialist
19-CRM-077
OR

Other

Enumeration date
08/09/2018
Last updated
07/20/2023
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