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Travis Weaver
Addiction (Substance Use Disorder) Counselor in Prineville, Oregon
NPI 1861864555

Travis Weaver is an Addiction (Substance Use Disorder) Counselor based in Prineville, OR and is specialized in Addiction (Substance Use Disorder). Travis Weaver practices in Prineville, OR. The NPI Number for Travis Weaver is 1861864555 and holds a License No. (Oregon).

The current practice location address for Travis Weaver is 1333 Nw 9Th St, Prineville, OR and can be reached out via phone at 541-233-6036.

Location: 1333 Nw 9Th St, Prineville, OR, 97754-1482
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861864555
Provider Name
Travis Weaver
Credential
Provider Entity Type
Individual
Gender
Male
Address
1333 Nw 9Th St, Prineville, OR, 97754-1482
Phone Number
541-233-6036
Fax Number
Provider Enumeration Date
10/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
136460 05 OR
institution
Provider Business Practice Location Address Details
Address
1333 Nw 9Th St
City
Prineville
State
Oregon
Zip
97754-1482
Phone Number
541-233-6036
Fax Number
person
Provider Business Mailing Address Details
Address
1333 Nw 9Th St
City
Prineville
State
Oregon
Zip
97754-1482
Phone Number
541-233-6036
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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