Individual
MR. TRAVIS STUART WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 S ARTHUR ST STE 610, SPOKANE, WA 99202-2260
(509) 448-1202
Mailing address
140 S ARTHUR ST STE 610, SPOKANE, WA 99202-2260
(509) 448-1202
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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