MR. TREVOR RYAN KRUSE
NPI 1588099550
Counselor - Mental Health in Portland, OR
Active since September 10, 2013
About Mr. Trevor Ryan Kruse NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TREVOR RYAN KRUSE (NPI 1588099550) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2013.
NPPES Registry Identity
NPI1588099550
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. TREVOR RYAN KRUSE
Location Address3415 SE POWELL BLVDPortland, OR 97202-3371
Mailing Address1607 S 9th St, Apt ELebanon, OR 97355-1783 · (541) 250-2481
Phone(503) 234-9591
Sole ProprietorNo
Enumeration DateSeptember 10, 2013
✔ NPI 1588099550 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3415 SE POWELL BLVD, Portland, OR 97202
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3415 SE POWELL BLVD
PORTLAND, OR 97202
PORTLAND, OR 97202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588099550, enumerated as an "individual" on September 10, 2013.
The provider is located at 3415 SE POWELL BLVD PORTLAND, OR 97202 and the phone number is (503) 234-9591.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
