Cole, Trevor
Cole, Trevor is an individual health care provider with primary practice located at 5200 Sw Macadam Ave Ste 580, Portland OR 97239-3837. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Cole, Trevor can be contacted via phone (503) 231-7854.Contact Information
Primary practice address
5200 Sw Macadam Ave Ste 580
Portland OR 97239-3837
Phone: (503) 231-7854
Fax: (503) 231-8153
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2915 | Oregon |
Profile Details
NPI number | 1750776407 |
---|---|
LBN Legal business name | Cole, Trevor |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2015 |
Last updated | Dec 30th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750776407 | NPPES |
Oregon | MEDICAID | 500715733 |
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