TRAVIS JOE DEZELLEM

CORVALLIS, OR
NPI1700744703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2026-01-10
Last Update Date2026-01-10
Business Address
TRAVIS JOE DEZELLEM
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
Mailing Address
TRAVIS JOE DEZELLEM
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: