Individual
KYLE TRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4000
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
4704297785
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
10000183CRNA
OR
Other
Enumeration date
01/15/2020
Last updated
11/14/2022
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