Healthcare Provider Details

I. General information

NPI: 1568803674
Provider Name (Legal Business Name): RUBEN RICARDO TRUE-ROMERO MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2013
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 NW CIVIC DR STE 310
GRESHAM OR
97030-3774
US

IV. Provider business mailing address

1700 NW CIVIC DR STE 310
GRESHAM OR
97030-3774
US

V. Phone/Fax

Practice location:
  • Phone: 503-666-8832
  • Fax:
Mailing address:
  • Phone: 503-666-8832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC10896
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: