Tippets, Trevor Wood

Tippets, Trevor Wood is an sole proprietor health care provider with primary practice located at 3474 Liberty Rd S , Salem OR 97302-4607. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Tippets, Trevor Wood can be contacted via phone (503) 588-8188.

Contact Information

Primary practice address
3474 Liberty Rd S Salem OR 97302-4607
Phone: (503) 588-8188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP186082 Oregon

Profile Details

NPI number 1477931244
LBN Legal business name Tippets, Trevor Wood
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2015
Last updated Nov 8th, 2019 - about 5 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.

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