Individual
TREVIS JOSHUA HUTSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
619 NW 6TH AVE FL 3, PORTLAND, OR 97209-3991
(503) 988-5020
(503) 988-5022
Mailing address
619 NW 6TH AVE FL 3, PORTLAND, OR 97209-3991
(503) 988-5020
(503) 988-5022
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201140395RN
OR
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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