Basic Information
| Provider Information | |||||||||
| NPI: | 1659473189 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TROXEL | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | THERESA | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 831 NW COUNCIL DR | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | GRESHAM | ||||||||
| State: | OR | ||||||||
| PostalCode: | 970303721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5033828100 | ||||||||
| FaxNumber: | 5033828120 | ||||||||
| Practice Location | |||||||||
| Address1: | 831 NW COUNCIL DR | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | GRESHAM | ||||||||
| State: | OR | ||||||||
| PostalCode: | 970303721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5033828100 | ||||||||
| FaxNumber: | 5033828120 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/04/2006 | ||||||||
| LastUpdateDate: | 03/18/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | 081001341N3ANPPP | OR | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.