Sammon, Travis

Sammon, Travis is an individual health care provider with primary practice located at 2577 Ne Courtney Dr , Bend OR 97701-7638. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Sammon, Travis can be contacted via phone (541) 322-7500.

Contact Information

Primary practice address
2577 Ne Courtney Dr Bend OR 97701-7638
Phone: (541) 322-7500
Fax: (541) 330-4642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L3873 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X L3873 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X L3873 Oregon

Profile Details

NPI number 1033385042
LBN Legal business name Sammon, Travis
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Jan 27th, 2012 - about 12 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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