Hall, Trevor Allen
Hall, Trevor Allen is an individual health care provider with primary practice located at 707 Sw Gaines St , Portland OR 97239-2901. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hall, Trevor Allen can be contacted via phone (503) 418-2134.Contact Information
Primary practice address
707 Sw Gaines St
Portland OR 97239-2901
Phone: (503) 418-2134
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1804 | Oregon |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY202444 | Idaho |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2540 | Oregon |
Profile Details
| NPI number | 1306914643 |
|---|---|
| LBN Legal business name | Hall, Trevor Allen |
| Credentials | PSYD, ABPDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Dec 18th, 2014 - about 11 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 | 1306914643 | NPPES |
| Idaho | Other | 1518102797 | GROUP NPI |
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