- Practice location
- 1 Serenity Ln, Coburg, OR 97408-9350
- Phone
- 541-687-1110
- Fax
- —
- Last updated
- January 12, 2021
Travis Audia is a Counselor, Addiction (Substance Use Disorder) based in Coburg, OR. Travis Audia practices in Coburg, OR. The NPI Number for Travis Audia is 1679162887 and holds a License No. T-20-490 (OR). The current practice location address for Travis Audia is 1 Serenity Ln, Coburg, OR 97408-9350 and can be reached out via phone at 541-687-1110.
Provider Profile Details
- NPI Number
- 1679162887
- Provider Name
- Travis Audia
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Serenity Ln, Coburg, OR 97408-9350
- Phone Number
- 541-687-1110
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 12, 2021
- Last Update Date
- January 12, 2021
- Certification Date
- January 12, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Serenity Ln
Coburg, OR 97408-9350 - City
- Coburg
- State
- Oregon
- Zip
- 97408-9350
- Phone Number
- 541-687-1110
Provider Business Mailing Address Details
- Address
- 601 NW Harmon Blvd
Bend, OR 97703-3060 - City
- Bend
- State
- OR
- Zip
- 97703-3060
- Phone Number
- 541-591-4275
License Information
- License Number
- T-20-490
- License State
- OR
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Coburg, OR
View all Counselor, Addiction (Substance Use Disorder) providers in Coburg →- Alisha M BashorCounselor, Addiction (Substance Use Disorder) · NPI 1396318580
- Brittney ArlintCounselor, Addiction (Substance Use Disorder) · NPI 1154153260
- Mark BrauerCounselor, Addiction (Substance Use Disorder) · NPI 1245908631
- Mr. Daniel J Bates ICounselor, Addiction (Substance Use Disorder) · NPI 1952013880
- Sharon M BlanchardCounselor, Addiction (Substance Use Disorder) · NPI 1669151684
Frequently Asked Questions
What is the NPI number of Travis Audia?
The NPI number of Travis Audia is 1679162887. It was assigned on January 12, 2021 and is currently active in the NPPES registry.
What is the specialty of Travis Audia?
Travis Audia is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in OR under license number T-20-490.
Where does Travis Audia practice?
The practice location is 1 Serenity Ln, Coburg, OR 97408-9350. The office can be reached at 541-687-1110 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679162887 directly on the NPPES registry website.