Individual
JENNIFER L TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
801 PACIFIC AVE, TILLAMOOK, OR 97141-3926
(503) 842-3900
(503) 801-4522
Mailing address
PO BOX 489, TILLAMOOK, OR 97141-0489
(503) 842-3900
(503) 842-3903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A12846
OR
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/03/2018
Last updated
04/24/2026
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