Individual
TRAVIS DOCKTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1827 NE 44TH AVE STE 130, PORTLAND, OR 97213-1443
(623) 237-5271
Mailing address
1907 NE 127TH AVE, PORTLAND, OR 97230-1814
(971) 282-3575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015615
OR
Other
Enumeration date
01/05/2015
Last updated
01/11/2020
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