Trinity Sheraden

NPI #1962799833 in Keizer, Oregon

Provider Information

NPI Number: 1962799833
Entity Type: Organization
Organization Name: Trinity Sheraden
Primary Specialty: Specialist
Enumeration Date: Jun 29, 2011
Last Updated: Feb 9, 2016

Practice Location

Address: 1085 MONEDA AVE N
City: Keizer
State: Oregon
ZIP Code: 97303-6256
Phone: (503) 869-7380

Authorized Official

Name: TRINITY SHERADEN, LMT
Title: OWNER
Phone: (503) 869-7380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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