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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205573433

Samuel August Trillo, INTERN is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

10572 SE Washington St
Portland, OR 97216-2809
Phone: (503) 284-6883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23406 Crestforest Dr, Crestline, CA 92325 — (909) 338-4689

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R9005 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1205573433
Entity typeIndividual (Type 1)
GenderMale
Credentials INTERN
Sole proprietorYes
NPI enumeratedMay 18, 2022
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024

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