Individual
DALE JOHN TROUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151
Mailing address
11901 SE 34TH AVE, MILWAUKIE, OR 97222-6819
(503) 652-6163
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021250
—
OR
Enumeration date
02/21/2018
Last updated
02/21/2018
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