Provider Demographics
NPI:1609325513
Name:TRUMP, MEREDITH AMELIA (ND)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:AMELIA
Last Name:TRUMP
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:AMELIA
Other - Last Name:ROYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1953 NE GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-1139
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3910 SE STARK ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-2278
Practice Address - Country:US
Practice Address - Phone:503-235-8655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4020175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath