TRAVIS JOE DEZELLEM

CORVALLIS, OR
NPI1700744703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2026-01-10
Last Update Date2026-03-26
Business Address
TRAVIS JOE DEZELLEM
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
Mailing Address
TRAVIS JOE DEZELLEM
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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