Individual
TREVOR COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5200 SW MACADAM AVE, STE 580, PORTLAND, OR 97239-3837
(503) 231-7854
(503) 231-8153
Mailing address
5200 SW MACADAM AVE STE 580, PORTLAND, OR 97239-3837
(503) 231-7854
(503) 231-8153
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2915
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500715733
—
OR
Enumeration date
03/31/2015
Last updated
12/30/2017
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