Individual
TRAVIS ALEXANDER WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
3606 N MISSISSIPPI AVE STE 1, PORTLAND, OR 97227-1157
(971) 277-8505
Mailing address
3606 N MISSISSIPPI AVE STE 1, PORTLAND, OR 97227-1157
(971) 277-8505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7656
OR
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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