MEDICARE: MAXINE VALERIE TRUJILLO LMT#21038

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	LMT#21038	OR

General Provider Information

NPI Number	:	1689066250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAXINE VALERIE TRUJILLO LMT#21038

Provider Business Mailing Address
First Line	:	1505 WATER ST NE STE 2
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-6467
Country	:	US
Telephone Number	:	971-218-1694
Fax Number	:

Provider Business Practice Location Address
First Line	:	1505 WATER ST NE STE 2
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-6467
Country	:	US
Telephone Number	:	971-218-1694
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2015
Last Update Date	:	01/24/2024

Similar Medicare Providers

1508083601 — JEANNETTE ROWELL MA LPC
Practice Location Address:

1505 WATER ST NE , STE 5
SALEM, OR
97301-6467

Practice Phone: 503-508-0664
Practice Fax: 888-977-1513

1699962654 — DR. SCOTT S HOWE D.M.D
Practice Location Address:

1505 WATER ST NE
SALEM, OR
97301-6467

Practice Phone: 503-370-7651
Practice Fax: 503-370-4288

1649430505 — MEGAN J. OSBORN, PMHNP/ANP, PC
Practice Location Address:

1505 WATER ST NE , SUITE 2
SALEM, OR
97301-6467

Practice Phone: 503-399-8200
Practice Fax: 503-363-2600

1821489915 — RIVERFRONT DENTAL, LLC
Practice Location Address:

1505 WATER ST NE
SALEM, OR
97301-6467

Practice Phone: 503-370-7651
Practice Fax: 503-370-4288

1780141390 — MRS. KAITLIN ELIZABETH DEVINE LMT
Practice Location Address:

1505 WATER ST NE
SALEM, OR
97301-6467

Practice Phone: 503-507-6443
Practice Fax:

1215637285 — ANITA CLAIRE ROA LMT
Practice Location Address:

1505 WATER ST NE
SALEM, OR
97301-6467

Practice Phone: 503-339-7060
Practice Fax:

Directions to “ MAXINE VALERIE TRUJILLO LMT#21038” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.