TRAVIS ADAM FRIES

EUGENE, OR
NPI1124629423
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  THW000002460)
Enumeration Date2020-11-03
Last Update Date2020-11-03
Business Address
TRAVIS ADAM FRIES PSS
1420 GREEN ACRES RD
EUGENE, OR 97408-1791
Phone number: 541-762-4500
Mailing Address
TRAVIS ADAM FRIES PSS
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-684-4100
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