Provider Demographics
NPI:1720298235
Name:TRUE, DONALD A (PHD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:A
Last Name:TRUE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5441 SW MACADAM
Mailing Address - Street 2:#206
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3822
Mailing Address - Country:US
Mailing Address - Phone:503-222-5922
Mailing Address - Fax:503-222-9989
Practice Address - Street 1:5441 SW MACADAM AVE
Practice Address - Street 2:#206
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-6106
Practice Address - Country:US
Practice Address - Phone:503-222-5922
Practice Address - Fax:503-222-9989
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR0358103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical