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Individual

TRAVIS KERNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2415 SE 43RD AVE STE 200, PORTLAND, OR 97206-1671
(503) 239-5952
Mailing address
2051 NW 29TH AVE APT 1, PORTLAND, OR 97210-5305

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
02/01/2007
Last updated
09/11/2025
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