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Travis William Miner

Case Manager/Care Coordinator in Bellevue, WA. Individual provider (NPI-1).

NPI number1982179073
StatusActive
Last updated in NPPESOct 4, 2018

Details

NPI
1982179073
Entity type
Individual (NPI-1)
Name
Travis William Miner
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 4, 2018
Last updated
Oct 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care CoordinatorCG60716326WAYes
175T00000X Peer Specialist–WA

Practice location

3805 108th Ave Ne Ste 204
Bellevue, WA 98004-7613

Phone 425-242-1713 · Fax 425-242-0587

Mailing address

3805 108th Ave Ne Ste 204
Bellevue, WA 98004-7613

Phone 425-242-1713 · Fax 425-242-0587

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