NPI 1003193335

Trevor James Backer, BA

Practitioner Adult Companion Portland, OR

Practice location

Address: 310 NW Flanders St, Portland, OR 97209-3941
Phone: (503) 827-3949
Fax: (503) 827-0931
Mailing address: PO Box 8459, Portland, OR 97207-8459

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

Other Adult Companion providers in Oregon →

Registry record

NPI: 1003193335
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2011
Record last updated: 15 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.