Healthcare Provider Details

I. General information

NPI: 1073480737
Provider Name (Legal Business Name): TRUBRIETY OREGON PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14473 SW 90TH AVE
TIGARD OR
97224-6039
US

IV. Provider business mailing address

14473 SW 90TH AVE
TIGARD OR
97224-6039
US

V. Phone/Fax

Practice location:
  • Phone: 503-314-9067
  • Fax:
Mailing address:
  • Phone: 503-314-9067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BRUCE ZUFELT
Title or Position: PRESIDENT
Credential: LCSW
Phone: 503-314-9067