Individual
HEATHER TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19875 SW 65TH AVE STE 100, TUALATIN, OR 97062-8353
(503) 692-7785
Mailing address
PO BOX 6689, PORTLAND, OR 97228-6689
(562) 400-8071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10034239
OR
363LP2300X
Primary Care Nurse Practitioner
NP95018411
CA
Other
Enumeration date
03/30/2022
Last updated
12/09/2025
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