Provider Demographics
NPI:1659473189
Name:TROXEL, BARBARA THERESA (NP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:THERESA
Last Name:TROXEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 NW COUNCIL DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-3721
Mailing Address - Country:US
Mailing Address - Phone:503-382-8100
Mailing Address - Fax:503-382-8120
Practice Address - Street 1:831 NW COUNCIL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-3721
Practice Address - Country:US
Practice Address - Phone:503-382-8100
Practice Address - Fax:503-382-8120
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR081001341N3ANPPP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORS12755Medicare UPIN