Individual provider · Type 1 NPI
Troy Adam Haselip, OWNER
Driver · Lebanon, OR
NPI number
1013417104
Active
Practice location
39349 River Dr
Lebanon, OR 97355-8915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 9570911 (OR) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1013417104
Troy Adam Haselip, OWNER's National Provider Identifier is 1013417104, issued on Feb 15, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Lebanon, OR. The record was last updated on Feb 15, 2018.