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TREVOR HARRISON CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRM

Contact information

Practice address
58147 COLUMBIA RIVER HWY STE C, SAINT HELENS, OR 97051-6229
(503) 396-5322
Mailing address
58147 COLUMBIA RIVER HWY, SAINT HELENS, OR 97051-6229

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/23/2022
Last updated
05/23/2022
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