Individual
DR. TREVOR ALLEN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, ABPDN
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 418-2134
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 418-2134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1804
OR
103TC0700X
Clinical Psychologist
Primary
2540
OR
103TC0700X
Clinical Psychologist
PSY202444
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518102797
GROUP NPI
ID
Enumeration date
12/04/2006
Last updated
12/18/2014
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