Provider Demographics
NPI:1083085500
Name:ZENO TRUSCOTT, NATALIE IRENE
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:IRENE
Last Name:ZENO TRUSCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 NE JARRETT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-4972
Mailing Address - Country:US
Mailing Address - Phone:530-518-2171
Mailing Address - Fax:
Practice Address - Street 1:1707 NE JARRETT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-4972
Practice Address - Country:US
Practice Address - Phone:530-518-2171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program