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SAMUEL AUGUST TRILLO INTERN
NPI 1205573433
Counselor - Mental Health in Portland, OR

Active since May 18, 2022
10572 SE WASHINGTON ST, PORTLAND, OR 97216(503) 284-6883 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2024, May 18, 2022 (2 updates tracked since 2022).

About Samuel August Trillo Intern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL AUGUST TRILLO INTERN (NPI 1205573433) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R9005) and active in the NPI registry since May 2022. He maintains a secondary practice location in Crestline.

NPPES Registry Identity

NPI1205573433
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL AUGUST TRILLOCredential: INTERN
Location Address10572 SE WASHINGTON STPortland, OR 97216-2809
Mailing Address4121 N Albina AvePortland, OR 97217-3001 · (415) 717-6666
Phone(503) 284-6883
Sole ProprietorYes
Enumeration DateMay 18, 2022
Last NPPES UpdateApril 15, 20242 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
✔ NPI 1205573433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R9005
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10572 SE WASHINGTON ST, Portland, OR 97216
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Secondary Practice Location 1

Location 123406 Crestforest DrCrestline, CA 92325 · Phone (909) 338-4689

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA JULIANNE LUNDBERG
Counselor (Professional)
10572 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 284-6883
AVERY LEIGH LEWIS
Counselor
10572 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 284-6883
BRIAN E SMITH
Counselor (Mental Health)
10572 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 284-6883
ZARA ROTH
Counselor (Mental Health)
10572 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 284-6883
CHAD ERNEST M.S., LPC
Counselor (Professional)
10572 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 284-6883
BENJAMIN KANYIMBE KER
Psychologist (Counseling)
10572 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 284-6883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Trillo's NPI number?

The NPI number for Samuel Trillo is 1205573433. It was assigned to this individual provider in the NPPES registry on May 18, 2022.

Where is Samuel Trillo located?

Samuel Trillo practices at 10572 SE Washington St, Portland, OR 97216. The listed phone number is (503) 284-6883.

What is Samuel Trillo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Samuel Trillo accept?

Health plans from Moda Health Plan, Inc. list Samuel Trillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Trillo was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.