Individual provider · Type 1 NPI

Samuel August Trillo, INTERN

Mental Health Counselor · Portland, OR

NPI number 1205573433 Active

Practice location

10572 SE Washington St
Portland, OR 97216-2809

Call (503) 284-6883 Map

Mailing address

4121 N Albina Ave
Portland, OR 97217-3001

Other practice locations

  • 23406 Crestforest Dr, Crestline, CA 92325 · (909) 338-4689

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XR9005 (OR)

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1205573433

Samuel August Trillo, INTERN's National Provider Identifier is 1205573433, issued on May 18, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 15, 2024.