Individual
JASON TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
537 SE ALDER ST, PORTLAND, OR 97214-2231
(503) 442-6917
(503) 595-3478
Mailing address
537 SE ALDER ST, PORTLAND, OR 97214-2231
(503) 442-6917
(503) 595-3478
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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