MEDICARE: DR. TRAVIS ALEXANDER NAJERA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	57.011752	OH
2	207Q00000X	Family Medicine Physician	MD60079458	WA

General Provider Information

NPI Number	:	1093925794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRAVIS ALEXANDER NAJERA MD

Provider Business Mailing Address
First Line	:	1620 N ROAD 44
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-2667
Country	:	US
Telephone Number	:	509-396-3001
Fax Number	:	509-544-2158

Provider Business Practice Location Address
First Line	:	1620 N ROAD 44
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-2667
Country	:	US
Telephone Number	:	509-396-3001
Fax Number	:	509-544-2158

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	09/26/2014

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