TRAVIS D RODERICK

EUGENE, OR
NPI1497989537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-05-04
Last Update Date2009-05-04
Business Address
-- TRAVIS D RODERICK
1790 W 11TH AVE STE 290
EUGENE, OR 97402-3758
Phone number: 541-686-1262
Mailing Address
-- TRAVIS D RODERICK
3255 GATEWAY ST APT. 31
SPRINGFIELD, OR 97477-1053
Phone number: 541-510-4051
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