TRAVIS SCOTT BURCH

MEDFORD, OR
NPI1063718005
Professional NameTRAVIS BURCH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-02-09
Last Update Date2014-12-12
Business Address
-- TRAVIS SCOTT BURCH
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
Mailing Address
-- TRAVIS SCOTT BURCH
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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