Individual
DR. DONALD A. TRELSTAD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19260 SW 65TH AVE, STE 420, TUALATIN, OR 97062-5712
(503) 692-0405
(503) 692-7978
Mailing address
1040 NW 22ND AVE, STE 660, PORTLAND, OR 97210-3083
(503) 692-0405
(503) 692-7978
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD09256
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019729
—
OR
Enumeration date
06/16/2005
Last updated
07/08/2007
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