Douglass, Trevor Stanley

Douglass, Trevor Stanley is an sole proprietor health care provider with primary practice located at 462 17Th St Ne , Salem OR 97301-4223. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Douglass, Trevor Stanley can be contacted via phone (971) 209-2774.

Contact Information

Primary practice address
462 17Th St Ne Salem OR 97301-4223
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 273119 Oregon
Chiropractic Providers / Sports Physician 111NS0005X 273119 Oregon

Profile Details

NPI number 1255420139
LBN Legal business name Douglass, Trevor Stanley
Credentials DC, CCSP, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Dec 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers