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Contact Information

TREVOR BODINE, PTA
3270 LIBERTY RD. S
SALEM, OR97302
 Phone: 503-371-0779
 Fax: 530-371-0886
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for TREVOR BODINE · (Male)

NPI # 1376884098
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 03/05/2013
Last updated 03/05/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 7976
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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