Provider Demographics
NPI:1902288913
Name:TREAT, TRINITY (MA, QMHP)
Entity type:Individual
Prefix:
First Name:TRINITY
Middle Name:
Last Name:TREAT
Suffix:
Gender:F
Credentials:MA, QMHP
Other - Prefix:
Other - First Name:TRINITY
Other - Middle Name:NICOLE
Other - Last Name:TREAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:1600 EXECUTIVE PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-7113
Mailing Address - Country:US
Mailing Address - Phone:541-515-2036
Mailing Address - Fax:
Practice Address - Street 1:722 NE 162ND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-5760
Practice Address - Country:US
Practice Address - Phone:971-202-3848
Practice Address - Fax:503-239-8101
Is Sole Proprietor?:No
Enumeration Date:2015-06-25
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4987101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional