Search › Oregon › 101YM0800X
Samuel Trillo, INTERN
NPI 1205573433 · on the registry since 2022 · sole proprietor
Practice
- Address
- 10572 Se Washington St
Portland, OR 97216 - Phone
- (503) 284-6883
- Clinicians at this address
- 8
Additional practice sites
- 23406 Crestforest Dr, Crestline, CA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 390200000X
- Licence states on file
- CA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon