Individual provider · Type 1 NPI

Trevor Stanley Douglass, DC, CCSP, MPH

Chiropractor · Salem, OR

NPI number 1255420139 Active

Practice location

462 17th St NE
Salem, OR 97301-4223

Mailing address

1215 Barnes Ave SE
Salem, OR 97306-1539

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X273119 (OR)
Sports Physician Chiropractor 111NS0005X273119 (OR)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1255420139

Trevor Stanley Douglass, DC, CCSP, MPH's National Provider Identifier is 1255420139, issued on Oct 11, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Salem, OR. The record was last updated on Dec 17, 2012.