Individual
TRAVIS NIETO-HOLLESTELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LA.C
Contact information
Practice address
17500 NW CORNELL RD APT 3, BEAVERTON, OR 97006-3201
(541) 639-2734
Mailing address
17500 NW CORNELL RD APT 3, BEAVERTON, OR 97006-3201
(541) 639-2734
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC222947
OR
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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