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Troy Adam Haselip, OWNER
Driver in Lebanon, Oregon
NPI 1013417104

Troy Adam Haselip is a Driver based in Lebanon, OR. Troy Adam Haselip practices in Lebanon, OR and has the professional credentials of OWNER. The NPI Number for Troy Adam Haselip is 1013417104 and holds a License No. 9570911 (Oregon).

The current practice location address for Troy Adam Haselip is 39349 River Dr, Lebanon, OR and can be reached out via phone at 541-971-5469. You can also correspond with Troy Adam Haselip through the mailing address at 39349 RIVER DR, LEBANON, OR - 97355-8915 (mailing address contact number: 541-971-5469).

Location: 39349 River Dr, Lebanon, OR, 97355-8915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013417104
Provider Name
Troy Adam Haselip
Credential
OWNER
Provider Entity Type
Individual
Gender
Male
Address
39349 River Dr, Lebanon, OR, 97355-8915
Phone Number
541-971-5469
Fax Number
Provider Enumeration Date
02/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26-3985015 05 OR
institution
Provider Business Practice Location Address Details
Address
39349 River Dr
City
Lebanon
State
Oregon
Zip
97355-8915
Phone Number
541-971-5469
Fax Number
person
Provider Business Mailing Address Details
Address
39349 River Dr
City
Lebanon
State
Oregon
Zip
97355-8915
Phone Number
541-971-5469
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
9570911 (Oregon)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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