Provider Demographics
NPI:1972350403
Name:TRUMAN, MAKAYA
Entity type:Individual
Prefix:
First Name:MAKAYA
Middle Name:
Last Name:TRUMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8153 SE CRABAPPLE ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-5349
Mailing Address - Country:US
Mailing Address - Phone:702-461-2051
Mailing Address - Fax:
Practice Address - Street 1:8153 SE CRABAPPLE ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-5349
Practice Address - Country:US
Practice Address - Phone:702-461-2051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health