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Organization
TRAVIS J. ELLIOTT ND LLC
Active
Organization
TRAVIS J. ELLIOTT ND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS J ELLIOTT ND (OWNER)
(503) 206-7773
Entity
Organization
Contact information
Practice address
1340 SW BERTHA BLVD,, SUITE 200, PORTLAND, OR 97219
(503) 244-0500
(503) 853-8615
Mailing address
1305 SW STEPHENSON ST, PORTLAND, OR 97219-8200
(503) 310-2036
(866) 202-3703
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1281
OR
Other
Enumeration date
02/02/2009
Last updated
10/26/2012
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