Provider Demographics
NPI:1235867383
Name:ASPIRANTI, TRISHA MARIE
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:MARIE
Last Name:ASPIRANTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4181 E ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97478-5772
Mailing Address - Country:US
Mailing Address - Phone:541-343-5256
Mailing Address - Fax:541-343-4387
Practice Address - Street 1:4181 E ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97478-5772
Practice Address - Country:US
Practice Address - Phone:458-201-9176
Practice Address - Fax:541-343-4387
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR106652172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR106652OtherOREGON HEALTH AUTHORITY