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General NPI Number Information
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NPI Number | 1013045202
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Entity Type | Individual
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Provider Name | WENDY J TROUT MSN, NP
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 10/28/2019
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Provider Practice Location Address
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Address Line | 3710 SW US VETERANS HOSPITAL RD
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City | PORTLAND
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State | OR
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Zip | 97239-2964
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Country | US
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Telephone | 360-696-4061
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Fax |
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Provider Business Mailing Address
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Address Line | 3710 SW US VETERANS HOSPTIAL RD. VANCOUVER CAMPUS, BLD 11, ROOM 128
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City | PORTLAND
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State | OR
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Zip | 97239
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Country | US
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Telephone | 360-696-4061
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Fax | 360-737-1420
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 565162
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 18232
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 565162
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 565162
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 565162
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP012061
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201808928NP-PP
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License Number State | OR
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201808928
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License Number State | OR
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