Individual
MR. DANE SCOTT TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5343 TALLMAN AVE NW, SUITE 202, SEATTLE, WA 98107
(206) 547-0330
(206) 789-0140
Mailing address
5343 TALLMAN AVE NW, SUITE 202, SEATTLE, WA 98107
(206) 547-0330
(206) 789-0140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033916
WA
207Q00000X
Family Medicine Physician
MD9651
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121086
—
WA
01
—
133038
L&I
—
Enumeration date
02/16/2006
Last updated
10/18/2010
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