SAMUEL AUGUST TRILLO INTERN NPI 1205573433

NPI Information

  • NPI: 1205573433
  • Provider Name: SAMUEL AUGUST TRILLO, INTERN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 10572 SE WASHINGTON ST
    PORTLAND, OR
    ZIP 97216
  • Phone: (503) 284-6883

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NPI Details

Samuel August Trillo, INTERN is a mental health counselor in Portland, OR. Samuel August Trillo, INTERN NPI is 1205573433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10572 SE WASHINGTON ST
PORTLAND, OR
ZIP 97216-809
Phone: (503) 284-6883

The enumeration date for this NPI number is 5/18/2022 and was last updated on 4/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramCALIFORNIANo
2101YM0800XCounselorMental HealthR9005OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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