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Individual

TRAVIS HOLDEN PRICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
425 2ND AVE SW, SUITE 101, ALBANY, OR 97321-2482
(541) 967-3866
(541) 812-8807
Mailing address
425 2ND AVE SW, SUITE 101, ALBANY, OR 97321-2482
(541) 967-3866
(541) 812-8807

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/24/2007
Last updated
09/01/2009
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