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1962050641
TRAVIS A GATERS
PORTLAND, OR
NPI
1962050641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
-- TRAVIS A GATERS
7624 N PORTSMOUTH AVE
PORTLAND, OR 97203-5954
Phone number: 503-317-6762
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Mailing Address
-- TRAVIS A GATERS
7624 N PORTSMOUTH AVE
PORTLAND, OR 97203-5954
Phone number: 503-317-6762
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