Individual
TRAVIS D FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2125 NE DAGGETT LN, BEND, OR 97701-6560
(541) 408-7293
Mailing address
62895 HAMBY RD, BEND, OR 97701-9575
(541) 389-1409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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