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Individual

JAMES CLARK TROTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(503) 944-8000
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
(503) 413-3900
(503) 413-3710

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201341253RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201905497NP-PP
OR

Other

Enumeration date
06/26/2018
Last updated
10/21/2019
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