Individual
MS. BETSY E TRUMBULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5200 SW MACADAM AVE, SUITE 580, PORTLAND, OR 97239-6103
(503) 231-7854
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-6700
(860) 679-6736
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
015835
CT
1041C0700X
Clinical Social Worker
Primary
A1852
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1812203
CAQH PROVIDER NUMBER
OR
05
—
244213
—
OR
Enumeration date
02/26/2007
Last updated
03/11/2026
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