Individual provider · Type 1 NPI

Shannon Trubatch

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1023950953 Active

Practice location

905 SE 14th Ave
Portland, OR 97214-2569

Call (503) 622-8964 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023950953

Shannon Trubatch's National Provider Identifier is 1023950953, issued on Apr 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jun 17, 2026.