Healthcare Provider Details

I. General information

NPI: 1013833847
Provider Name (Legal Business Name): LOREN TROTTMANN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 5TH AVE
SEATTLE WA
98121-4034
US

IV. Provider business mailing address

1044 NEWCASTLE ST
MEDFORD OR
97501-1895
US

V. Phone/Fax

Practice location:
  • Phone: 206-693-9929
  • Fax:
Mailing address:
  • Phone: 541-727-2063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.PT.70151988
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: