Individual
TRAVIS LOUIS MONCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
929 SW SIMPSON AVE, SUITE 220, BEND, OR 97702-3599
(541) 317-5600
(541) 317-5676
Mailing address
PO BOX 670, BEND, OR 97709-0670
(541) 317-5600
(541) 317-5676
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD26567
OR
207UN0902X
Nuclear Imaging & Therapy Physician
MD26567
OR
Other
Enumeration date
07/06/2006
Last updated
02/18/2020
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