DR. TREVOR STANLEY DOUGLASS DC, CCSP, MPH
NPI 1255420139
Chiropractor in Salem, OR

Q: What is Trevor Douglass's NPI number?

The NPI number for Trevor Douglass is 1255420139. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Trevor Douglass's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Trevor Douglass was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2006

462 17TH ST NE, SALEM, OR 97301(971) 209-2774 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Trevor Stanley Douglass Dc, Ccsp, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TREVOR STANLEY DOUGLASS DC, CCSP, MPH (NPI 1255420139) is an individual chiropractor in Salem, Oregon, licensed in Oregon (273119) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1255420139

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. TREVOR STANLEY DOUGLASSCredential: DC, CCSP, MPH

Location Address462 17TH ST NESalem, OR 97301-4223

Mailing Address1215 Barnes Ave SeSalem, OR 97306-1539 · (971) 209-2774

Phone(971) 209-2774

Sole ProprietorYes

Enumeration DateOctober 11, 2006

Last NPPES UpdateDecember 17, 2012

✔ NPI 1255420139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OR · 273119

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 273119 (OR)

462 17TH ST NE, Salem, OR 97301

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Other Identifiers 2

Medicare UPIN931265398OR

Medicare ID-Type UnspecifiedR103432OR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trevor Douglass's NPI number?

The NPI number for Trevor Douglass is 1255420139. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Trevor Douglass located?

Trevor Douglass practices at 462 17th St NE, Salem, OR 97301. The listed phone number is (971) 209-2774.

What is Trevor Douglass's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Trevor Douglass was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.