Provider Demographics
NPI:1033751433
Name:LOCH, TRISHA K (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:TRISHA
Middle Name:K
Last Name:LOCH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:TRISHA
Other - Middle Name:KELSEY
Other - Last Name:HERSCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:781 W CENTRAL
Mailing Address - Street 2:
Mailing Address - City:SUTHERLIN
Mailing Address - State:OR
Mailing Address - Zip Code:97479
Mailing Address - Country:US
Mailing Address - Phone:541-459-0303
Mailing Address - Fax:541-459-1657
Practice Address - Street 1:781 W CENTRAL
Practice Address - Street 2:
Practice Address - City:SUTHERLIN
Practice Address - State:OR
Practice Address - Zip Code:97479
Practice Address - Country:US
Practice Address - Phone:541-459-0303
Practice Address - Fax:541-459-1657
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical