Individual
DR. SIMON M TRUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
58 WEST LN, RIDGEFIELD, CT 06877-4916
(503) 724-0291
Mailing address
3145 NE 16TH AVE, PORTLAND, OR 97212-2310
(503) 282-3432
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
017498
CT
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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