Widman, Travis James
Widman, Travis James is an individual health care provider with primary practice located at 9900 Se Sunnyside Rd , Clackamas OR 97015-9777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Widman, Travis James can be contacted via phone (503) 571-3332.Contact Information
Primary practice address
9900 Se Sunnyside Rd
Clackamas OR 97015-9777
Phone: (503) 571-3332
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | LL16231 | Oregon |
Profile Details
| NPI number | 1700928397 |
|---|---|
| LBN Legal business name | Widman, Travis James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Dec 23rd, 2010 - about 14 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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