Individual
DR. TRAVIS FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, MS
Contact information
Practice address
110 NE 10TH AVE, HILLSBORO, OR 97124-3333
(503) 547-1999
Mailing address
513 NE 131ST PL, PORTLAND, OR 97230-2519
(971) 207-8338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6139
OR
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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