Provider Demographics
NPI:1467675926
Name:TRUHN, DAVID REX (PSYDPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:REX
Last Name:TRUHN
Suffix:
Gender:M
Credentials:PSYDPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 E 15TH AVE
Mailing Address - Street 2:STE. A
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4177
Mailing Address - Country:US
Mailing Address - Phone:541-343-0600
Mailing Address - Fax:541-343-3936
Practice Address - Street 1:260 E 15TH AVE
Practice Address - Street 2:STE. A
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4177
Practice Address - Country:US
Practice Address - Phone:541-343-0600
Practice Address - Fax:541-343-3936
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1329103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR269068OtherDEPT. OF HUMAN SERVICES