Individual
AMBER MICHELLE TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3377 RIVERBEND DR, PEDIATRIC SURGERY, SPRINGFIELD, OR 97477-8803
(541) 222-6135
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01206
OR
Other
Enumeration date
02/19/2007
Last updated
07/05/2013
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