Wendy J Trout, MSN, NP
Nurse Practitioner, Psych/Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1013045202
StatusActive
Last updated in NPPESOct 28, 2019
Details
- NPI
- 1013045202
- Entity type
- Individual (NPI-1)
- Name
- Wendy J Trout
- Credential
- MSN, NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Oct 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | SP012061 | PA | Yes |
| 163W00000X | Registered Nurse | 565162 | CA | |
| 363L00000X | Nurse Practitioner | 18232 | CA | |
| 163WP0808X | Registered Nurse, Psych/Mental Health | 565162 | CA | |
| 171M00000X | Case Manager/Care Coordinator | 565162 | CA | |
| 225C00000X | Rehabilitation Counselor | 565162 | CA | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 201808928NP-PP | OR | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 201808928 | OR |
Practice location
3710 Sw Us Veterans Hospital RdPortland, OR 97239-2964
Phone 360-696-4061
Mailing address
3710 Sw Us Veterans Hosptial Rd.Vancouver Campus, Bld 11, Room 128
Portland, OR 97239
Phone 360-696-4061 · Fax 360-737-1420
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