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1629825906
TRAVIS SCOTT PETCHELL
PORTLAND, OR
NPI
1629825906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR THW000108531)
Enumeration Date
2024-05-03
Last Update Date
2024-05-03
Business Address
TRAVIS SCOTT PETCHELL PWS
1310 SW 17TH AVE
PORTLAND, OR 97201-2522
Phone number: 503-231-2641
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Mailing Address
TRAVIS SCOTT PETCHELL PWS
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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