Acord, Travis Clark

Acord, Travis Clark is an individual health care provider with primary practice located at 1191 Hazel St , Medford OR 97501. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Acord, Travis Clark can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
1191 Hazel St Medford OR 97501
Phone: (541) 476-2373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1952976979
LBN Legal business name Acord, Travis Clark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2021
Last updated May 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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