Provider Demographics
NPI:1902525736
Name:TRINKLER, MICHAEL (PA-C)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:TRINKLER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:1000 AMERICAN PACIFIC DR APT 2224
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-8021
Mailing Address - Country:US
Mailing Address - Phone:704-340-1314
Mailing Address - Fax:
Practice Address - Street 1:1698 E MCANDREWS RD STE 280
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-5590
Practice Address - Country:US
Practice Address - Phone:541-774-5808
Practice Address - Fax:541-732-3910
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2023-05-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORPA214944363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant