NPI 1073397360
Marie Trevisan, LLC
Practice location
- Address
- 2833 SE 45th Ave Unit B, Portland, OR 97206-1615
- Phone
- (208) 882-6736
Authorised official
- Name
- Marie Trevisan
- Title
- Owner
- Phone
- (208) 882-6736
Registered specialties
Mental Health Occupational Therapist
Primary
Registry record
- NPI
- 1073397360
- Entity type
- Organization
- NPI issued
- 21 Aug 2023
- Record last updated
- 19 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.