Individual
TRAVIS AUDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 687-1110
Mailing address
601 NW HARMON BLVD, BEND, OR 97703-3060
(541) 591-4275
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-20-490
OR
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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