Healthcare Provider Details

I. General information

NPI: 1760316467
Provider Name (Legal Business Name): TRENT CALMER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2343 SE TUALATIN VALLEY HWY
HILLSBORO OR
97123-7976
US

IV. Provider business mailing address

6870 SE DRAKE ST
HILLSBORO OR
97129-6101
US

V. Phone/Fax

Practice location:
  • Phone: 503-336-3456
  • Fax:
Mailing address:
  • Phone: 503-351-8128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number29450
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: