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General NPI Number Information
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NPI Number | 1093987349
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Entity Type | Individual
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Provider Name | TRINA GALE NESTOR PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1510 DIVISION ST STE 200
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City | OREGON CITY
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State | OR
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Zip | 97045-1599
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Country | US
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Telephone | 503-962-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 527 MEDICAL PARK DR STE 304
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City | BRIDGEPORT
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State | WV
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Zip | 26330-9010
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Country | US
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Telephone | 304-842-0007
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA228227
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 01097
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License Number State | WV
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