Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Trevino, FNP

Individual provider Primary Care Nurse Practitioner · NPI 1164162822

Heather Trevino, FNP is a Nurse Practitioner in Tualatin, Oregon. Qualified in 2021, 5 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Oregon.

Years since qualifying
5
Licensed in
CA, OR
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

19875 SW 65th Ave Ste 100
Tualatin, OR 97062-8353
Phone: (503) 692-7785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11398 Kenyon Way Ste J, Rancho Cucamonga, CA 91701-9229 — (909) 727-3911

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10034239 (OR)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence NP95018411 (CA)

Record details

NPI number1164162822
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare