IndividualActive
Troy Haselip, OWNER
NPI 1013417104 · Driver · Lebanon, OR
Provider details
- NPI number
- 1013417104
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Credential
- OWNER
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9570911 (OR)
Mailing address
39349 River Dr
Lebanon, OR 97355-8915
Registry dates
- Enumerated
- 2018-02-15
- Last updated
- 2018-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.