Samuel August Trillo, INTERN
Samuel August Trillo, INTERN is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in California and Oregon.
- Licensed in
- CA, OR
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Portland, ORNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 23406 Crestforest Dr, Crestline, CA 92325 — (909) 338-4689
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence R9005 (OR) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (CA) |
Record details
| NPI number | 1205573433 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | INTERN |
| Sole proprietor | Yes |
| NPI enumerated | May 18, 2022 |
| Last updated in NPPES | April 15, 2024 |
| Certification date | April 15, 2024 |
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