Stratford, Travis W

Stratford, Travis W is an individual health care provider with primary practice located at 1703 River Ranch Rd , Missoula MT 59804-8503. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Stratford, Travis W can be contacted via phone (406) 317-3115.

Contact Information

Primary practice address
1703 River Ranch Rd Missoula MT 59804-8503
Phone: (406) 317-3115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 47167 Montana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 47167 Montana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 26978 Oregon
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD46039 Washington

Profile Details

NPI number 1962453159
LBN Legal business name Stratford, Travis W
Credentials M.D., L.C.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jan 11th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962453159 NPPES
Oregon MEDICAID 271184

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