| Trent B. Warren, M.d., P.c. | |
|
1507 Se 3rd Ct Canby OR 97013-4560 | |
| (503) 266-5127 | |
| (503) 266-3821 |
| Full Name | Trent B. Warren, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1507 Se 3rd Ct, Canby, Oregon |
| Authorized Official Name and Position | Deb Schultz (BOOK KEEPER) |
| Authorized Official Contact | 5037098869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trent B. Warren, M.d., P.c. 1507 Se 3rd Ct Canby OR 97013-4560 Ph: (503) 266-5127 | Trent B. Warren, M.d., P.c. 1507 Se 3rd Ct Canby OR 97013-4560 Ph: (503) 266-5127 |
| NPI Number | 1336367507 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 01/20/2010 |
| Medicare PECOS PAC ID | 2163480674 |
|---|---|
| Medicare Enrollment ID | O20041230000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336367507 | NPI | - | NPPES |
| 286616 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD22729 (Oregon) | Primary |
| Provider Name | Trent B Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245328418 PECOS PAC ID: 2466410972 Enrollment ID: I20050103000117 |
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