Trevor James Backer, BA

NPI #1003193335 in Portland, Oregon

Provider Information

NPI Number: 1003193335
Entity Type: Individual
Name: Trevor James Backer, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Credential: BA
Enumeration Date: Nov 15, 2011
Last Updated: Nov 15, 2011

Practice Location

Address: 310 NW FLANDERS ST
City: Portland
State: Oregon
ZIP Code: 97209-3941
Phone: (503) 827-3949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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