Waits, Travis

Waits, Travis is an sole proprietor health care provider with primary practice located at 18650 Sw Boones Ferry Rd Suite 3, Tualatin OR 97062-8491. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Waits, Travis can be contacted via phone (503) 680-4734.

Contact Information

Primary practice address
18650 Sw Boones Ferry Rd Suite 3 Tualatin OR 97062-8491
Phone: (503) 680-4734
Fax: (503) 536-6839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0623 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X C2157 Oregon

Profile Details

NPI number 1568488724
LBN Legal business name Waits, Travis
Credentials MA, LMFT, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Apr 14th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568488724 NPPES
Oregon Other 101YM0800X COUNSELOR MENTAL HEALTH

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