Hanson, Travis Michael

Hanson, Travis Michael is an individual health care provider with primary practice located at 1215 Sw G St , Grants Pass OR 97526-2544. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Hanson, Travis Michael can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
1215 Sw G St Grants Pass OR 97526-2544
Phone: (541) 476-2373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1114453586
LBN Legal business name Hanson, Travis Michael
Credentials PEER SUPPORT
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2017
Last updated May 4th, 2017 - about 8 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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