Individual provider · Type 1 NPI

Trevor Ryan Kruse

Mental Health Counselor · Portland, OR

NPI number 1588099550 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Call (503) 234-9591 Map

Mailing address

1607 S 9th St, Apt E
Lebanon, OR 97355-1783

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1588099550

Trevor Ryan Kruse's National Provider Identifier is 1588099550, issued on Sep 10, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 10, 2013.