Organization
TRAVIS M DOCKTER MS CCC-SLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS MARTIN DOCKTER MS CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(971) 282-3575
Entity
Organization
Contact information
Practice address
1907 NE 127TH AVE, PORTLAND, OR 97230-1814
(971) 282-3575
Mailing address
1907 NE 127TH AVE, PORTLAND, OR 97230-1814
(971) 282-3575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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