JOSHUA TRAVIS SOUTH I


Address: 160 E 18th Ave, Eugene, OR 97401-4160
Phone: 5417909566

JOSHUA TRAVIS SOUTH I (NPI# 1851843023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851843023
Entity Type Individual
Full Name JOSHUA TRAVIS SOUTH I
Practice Address 160 E 18th Ave
Eugene
OR 97401-4160
Practice Telephone 5417909566
Mailing Telephone 5417909566
Enumeration Date 2016-11-03
Last Update Date 2016-11-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZA2600X Specialist/Technologist, Other
Specialization: Art, Medical
BAP-FA-1001520 OR Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 160 E 18TH AVE
City EUGENE
State OR
Zip Code 97401-4160

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Taxonomy Information

Taxonomy Code 246ZA2600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Art, Medical

Taxonomy Definition

Definition to come...

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1285770958 Kathleen Sue Sherwood Specialist/Technologist, Other 680 E 18th Ave, Eugene, OR 97401-4360 2007-01-30
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1548667918 Eleven Eleven, LLC Specialist/Technologist, Other 6714 Sw 62nd Place, Portland, OR 97219 2014-12-01
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1447681648 Anew You Studio LLC Specialist/Technologist, Other 100 King St S, Salem, OR 97302-4520 2013-12-12
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Competitor

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City EUGENE
Zip Code 97401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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