Glenn Trueblood

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1200 Issued in OR

Practice address

26 NW Irving
Bend, OR 97701

Phone

(541) 385-5203

Fax

(541) 385-4724

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1811014012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 SW EMKAY DR",
            "address_2": "STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023598",
            "telephone_number": "541-385-5203",
            "fax_number": "541-385-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 NW IRVING",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-385-5203",
            "fax_number": "541-385-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUEBLOOD",
        "first_name": "GLENN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "1200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084157",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Elizabeth Trowbridge, LMT
• Aaron Trudel
• True Center Therapy, LLC
• True North Wellness Centers
• True Spine Chiropractic LLC
• Matthew Truhan, L.AC.
• Caitlyn Truong, M.D.
• Jennifer Thu Truong, DPT
• Katherine Tsui
• Emily Elizabeth Tucker, M.A.

• Clinical Neuropsychologist in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Neuropsychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.