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Active NPI 1255420139 Individual Practitioner Male Practitioner

Dr. Trevor Stanley Douglass , DC, CCSP, MPH

Chiropractor • Salem, OR

Professional Overview & Biography Verified Profile Summary

Dr. Trevor Douglass, DC, CCSP, MPH is a registered healthcare professional specializing in Chiropractor in Salem, OR. Practice services are available at 462 17TH ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

462 17th St Ne

Salem, OR 973014223

Telephone 9712092774

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
83 Specialists

Practicing in Salem, OR (1950 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OR 273119

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.

Chiropractor - Sports Physician

NUCC Taxonomy Code: 111NS0005X

State License OR 273119

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 17, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 17, 2012

Registered at 462 17TH ST NE, SALEM, OR 973014223 (Tel: 9712092774)

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Updated Business Mailing Address December 17, 2012

Registered at 1215 BARNES AVE SE, SALEM, OR 973061539 (Tel: 9712092774)

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Provider Name / Credentials Updated December 17, 2012

Recorded as TREVOR DOUGLASS, DC, CCSP, MPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2012

Chiropractor (License #273119 in OR)

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Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255420139
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: December 17, 2012
Sole Proprietor: Yes

Mailing Address

1215 Barnes Ave Se

Salem, OR 973061539

Phone: 9712092774

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.