Provider Demographics
NPI:1508697301
Name:TROWBRIDGE, LINDSEY A (PSS, YSS, CRM)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:A
Last Name:TROWBRIDGE
Suffix:
Gender:X
Credentials:PSS, YSS, CRM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 JACKSON ST SE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97322-3244
Mailing Address - Country:US
Mailing Address - Phone:503-313-6377
Mailing Address - Fax:541-791-3423
Practice Address - Street 1:1100 JACKSON ST SE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322-3244
Practice Address - Country:US
Practice Address - Phone:503-313-6377
Practice Address - Fax:541-791-3423
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR111195175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist