Most Relevant Information
Provider Data
| NPI Number: | 1003691114 |
| Provider Name: | SAMMY TRAVIS FRESHNER M.ED, MAC, LPCRA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | R5274 |
Most Important Dates
| Enumeration Date: | 08/28/2023 |
| Last Updated: | 08/28/2023 |
Provider Practice Location
1584 NE 8TH ST STE 200
GRESHAM
OR
970305746
Practice Location Phone/Fax
| Phone: | 5038908773 |
| Fax: |
Provider Mailing Location
3650 NE ALTON CT
FAIRVIEW
OR
970247736
Provider Mailing Phone/Fax
| Phone: | 5032093995 |
| Fax: |