Travis Jonquil

NPI 1881025872 · on the registry since 2013 · sole proprietor

Practice

Address: 4511 Se Hawthorne Blvd
Suite 204
Portland, OR 97215
Phone: (503) 809-1177
Organisation at this address: Heritage Dental
Sage Ventures Inc
Dr. Jonna E. Hongo
Ascending Hope Llc
Mindful Awakenings, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon