Active NPI
Jennifer Trottier
- Athletic Trainer
- Gresham, OR
National Provider Identifier
1417593138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 19-QMHA-I-00221
- Practice address
- 4101 NE Division St
Gresham, OR 97030-4617 - Phone
- (503) 666-6575
- NPI assigned
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 19-QMHA-I-00221 | OR | Primary |
Addresses
Primary practice location
4101 NE Division St
Gresham, OR 97030-4617
Mailing address
29430 SE Lusted Rd
Gresham, OR 97080-8979
Phone (503) 267-1316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-QMHA-I-00221 | OR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1417593138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29430 SE LUSTED RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970808979",
"telephone_number": "503-267-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 NE DIVISION ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970304617",
"telephone_number": "503-666-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTTIER",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OR",
"license": "19-QMHA-I-00221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.