Travis Evans Boss

NPI #1104479070 in Corvallis, Oregon

Provider Information

NPI Number: 1104479070
Entity Type: Individual
Name: Travis Evans Boss
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 19, 2019
Last Updated: Jul 19, 2019

Practice Location

Address: 4455 NE HIGHWAY 20
City: Corvallis
State: Oregon
ZIP Code: 97330-9695
Phone: (541) 785-5900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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