DR. Trevor Stanley Douglass, DC, CCSP, MPH

NPI #1255420139 in Salem, Oregon

Provider Information

NPI Number: 1255420139
Entity Type: Individual
Name: DR. Trevor Stanley Douglass, DC, CCSP, MPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC, CCSP, MPH
Enumeration Date: Oct 11, 2006
Last Updated: Dec 17, 2012

Practice Location

Address: 462 17TH ST NE
City: Salem
State: Oregon
ZIP Code: 97301-4223
Phone: (971) 209-2774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary
Chiropractor - Sports Physician — Sports Physician	111NS0005X

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