TRAVIS AUDIA

COBURG, OR
NPI1679162887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-20-490)
Enumeration Date2021-01-12
Last Update Date2021-01-12
Business Address
TRAVIS AUDIA
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
Mailing Address
TRAVIS AUDIA
601 NW HARMON BLVD
BEND, OR 97703-3060
Phone number: 541-591-4275
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