Trent D. Wilson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10366 Issued in OR

Legal business name

TRENT D. WILSON

Practice address

8401 NE Halsey St.
Suite 101
Portland, OR 97220

Phone

(503) 255-7000

Fax

(503) 255-7001

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Trent Daniel Wilson

Title

LMT

Phone

(503) 255-7000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1326493446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 NE 110TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "503-255-7000",
            "fax_number": "503-255-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 NE HALSEY ST.",
            "address_2": "SUITE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "503-255-7000",
            "fax_number": "503-255-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENT D. WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "503-255-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Marie Trempe, PT
• April Trenaman, OTR/L
• Kristin Trenary, LMSW
• Elyse Trendell, BS, PTA
• Stuart E Trenholme, M.D.
• Charlotte Trent, MSW
• Paula Jean Trent, M.ED., LMFT
• Florence L Trentacosti, PSYD
• Barbara Lee Trentadue, LPTA
• Isabelle Trepiccione, M.D.

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.