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1962890574
TRAVIS DOCKTER
PORTLAND, OR
NPI
1962890574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 015615)
Enumeration Date
2015-01-05
Last Update Date
2020-01-11
Business Address
TRAVIS DOCKTER M.S.
1827 NE 44TH AVE STE 130
PORTLAND, OR 97213-1443
Phone number: 623-237-5271
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Mailing Address
TRAVIS DOCKTER M.S.
1907 NE 127TH AVE
PORTLAND, OR 97230-1814
Phone number: 971-282-3575
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