Individual
DR. FLORENCE L TRENTACOSTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1880 SW HUNTINGTON AVE, PORTLAND, OR 97225-4754
(563) 641-6674
(503) 641-6674
Mailing address
1880 SW HUNTINGTON AVE, PORTLAND, OR 97225-4754
(563) 641-6674
(503) 641-6674
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1406
OR
103TC0700X
Clinical Psychologist
1406
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005440000
REGENCE BCBS
—
01
—
116035
MANAGED HEALTH NETWORK
—
Enumeration date
07/21/2006
Last updated
04/08/2021
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