Provider Demographics
NPI:1881583300
Name:DAVIS, TRENT JARED
Entity type:Individual
Prefix:
First Name:TRENT
Middle Name:JARED
Last Name:DAVIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1993 SE 70TH CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-6145
Mailing Address - Country:US
Mailing Address - Phone:503-686-5167
Mailing Address - Fax:
Practice Address - Street 1:1993 SE 70TH CT
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-6145
Practice Address - Country:US
Practice Address - Phone:503-686-5167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist