Individual
BARBARA TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 SHORE DR, SAINT HELENS, OR 97051-1125
(503) 397-2720
Mailing address
75 SHORE DR, SAINT HELENS, OR 97051-1125
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
07085
OR
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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