Dr. Trevor Stanley Douglass
Chiropractor Chiropractic Sports Physician
462 17th St Ne
Salem
, Oregon 97301-4223
Dr. Trevor Stanley Douglass
Chiropractor Chiropractic Sports Physician
462 17th St Ne
Salem
, Oregon 97301-4223
(971) 209-2774
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About
Features
Specialties
- Chiropractor
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Trevor Stanley Douglass
- 1215 Barnes Ave Se
- Salem, OR
- Zip : 97306-1539
- Phone : (971) 209-2774
Second Address
- Dr. Trevor Stanley Douglass
- 462 17th St Ne
- Salem, OR
- Zip : 97301-4223
- Phone : (971) 209-2774
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 273119 | OR |
| N | 111NS0005X | Chiropractic Sports Physician | 273119 | OR |
National Provider Identifier
| NPI | 1255420139 |
|---|---|
| Provider Name | Dr. Trevor Stanley Douglass |
| First Address | Salem, OR 97306-1539 |
| Second Address | Salem, OR 97301-4223 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2006 |
| Last Update Date | 17/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 931265398 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.