Individual
ETHAN W TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5253 NE SANDY BLVD, PORTLAND, OR 97213-2562
(503) 893-5131
Mailing address
64770 BIG BUCK DR, DEER ISLAND, OR 97054-9418
(801) 686-3612
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26242
OR
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us