Warren, Trent B
Warren, Trent B is an sole proprietor health care provider with primary practice located at 1507 Se Third Ave , Canby OR 97013-4560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Warren, Trent B can be contacted via phone (503) 266-5127.Contact Information
Primary practice address
1507 Se Third Ave
Canby OR 97013-4560
Phone: (503) 266-5127
Fax: (503) 266-3821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD22729 | Oregon |
Profile Details
| NPI number | 1245328418 |
|---|---|
| LBN Legal business name | Warren, Trent B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Nov 14th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245328418 | NPPES |
| Oregon | MEDICAID | 286616 |
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