TRAVIS SHADDY

COBURG, OR
NPI1174449201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-25-6129)
Enumeration Date2026-06-24
Last Update Date2026-06-24
Business Address
TRAVIS SHADDY
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
Mailing Address
TRAVIS SHADDY
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
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