Marie Trevisan, LLC

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

Legal business name

MARIE TREVISAN, LLC

Practice address

2833 SE 45TH Ave Unit B
Portland, OR 97206-1615

Phone

(208) 882-6736

NPI assigned

Aug 21, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marie Trevisan, OTNPI 1639782386

Title

Owner

Phone

(208) 882-6736

Specialties & licenses 1

Addresses

Other names 1

• Soma Story OT Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Trevisan, OTR/L

  • Occupational Therapist
  • Portland, OR
  • NPI 1639782386

  Mental Health

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1073397360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 SE 45TH AVE UNIT B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 SE 45TH AVE UNIT B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061615",
            "telephone_number": "208-882-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE TREVISAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "TREVISAN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-882-6736",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soma Story OT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soma Story OT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Margolin
• Cliff J Marhoefer, DC
• Mari Greenly, Lac, LLC
• Joel James Marick, ATC-R
• Robert Alan Maricle, MD
• Jacqueline Marie, LMT
• Susan Marie, PMHNP
• Charles Keith Marik
• Marilyn Hayward
• Diana Marin Duran

• Mental Health Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.