| Trivita Health Center Inc | |
|
10260 Sw Greenburg Rd Ste 400 Portland OR 97223-5514 | |
| (714) 695-5837 | |
| (714) 364-1206 |
| Full Name | Trivita Health Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10260 Sw Greenburg Rd Ste 400, Portland, Oregon |
| Authorized Official Name and Position | Aaron Newman (PROVIDER) |
| Authorized Official Contact | 5627467168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trivita Health Center Inc 10260 Sw Greenburg Rd Ste 400 Portland OR 97223-5514 Ph: (714) 695-5837 | Trivita Health Center Inc 10260 Sw Greenburg Rd Ste 400 Portland OR 97223-5514 Ph: (714) 695-5837 |
| NPI Number | 1154087831 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 11/16/2021 |
| Certification Date | 11/16/2021 |
| Medicare PECOS PAC ID | 0244680635 |
|---|---|
| Medicare Enrollment ID | O20231227002674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154087831 | NPI | - | NPPES |
| 95012595 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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