| Travis Audia, | |
|
1 Serenity Ln, Coburg, OR 97408-9350 | |
| (541) 687-1110 | |
| Not Available |
| Full Name | Travis Audia |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1 Serenity Ln, Coburg, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679162887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-20-490 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Audia, 601 Nw Harmon Blvd, Bend, OR 97703-3060 Ph: (541) 591-4275 | Travis Audia, 1 Serenity Ln, Coburg, OR 97408-9350 Ph: (541) 687-1110 |
Kara Lonberg, CADC 2 Counselor Medicare: Not Enrolled in Medicare Practice Location: 91150 N Coburg Industrial Way, Coburg, OR 97408 Phone: 541-284-5652 Fax: 541-465-3148 | |
Geramie Mark Mccormick, CRM II, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 91150 N Coburg Industrial Way, Coburg, OR 97408 Phone: 541-284-5645 | |
Tanja Desalles Looker, CADC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 91150 N Coburg Industrial Way, Coburg, OR 97408 Phone: 541-284-5709 | |
Mason Anthony Marin, CADC-R, CRM 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Serenity Ln, Coburg, OR 97408 Phone: 541-606-3308 | |
Jeffrey Hugh Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91150 N Coburg Industrial Way, Coburg, OR 97408 Phone: 541-687-1110 | |
Jenae Hulsey Katelyn Hulsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Serenity Ln, Coburg, OR 97408 Phone: 541-687-1110 | |
Jaclyn Bogner, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Serenity Ln, Coburg, OR 97408 Phone: 541-687-1110 |