REBEKAH L TRAVIS QMHA
NPI 1083376156
Counselor - Mental Health in Portland, OR

Q: What is Rebekah Travis's NPI number?

The NPI number for Rebekah Travis is 1083376156. It was assigned to this individual provider in the NPPES registry on October 6, 2021. The provider is also known as Reyah L Travis Qmha.

Q: What is Rebekah Travis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Rebekah Travis was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 06, 2021

12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 279-4800(971) 279-2051 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2022, Oct 6, 2021 (2 updates tracked since 2021).

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About Rebekah L Travis Qmha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBEKAH L TRAVIS QMHA (NPI 1083376156) is an individual mental health provider in Portland, Oregon, licensed in Oregon (22-QMHA-R-2352) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1083376156

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameREBEKAH L TRAVISCredential: QMHA

Location Address12360 E BURNSIDE STPortland, OR 97233-1042

Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235

Phone(971) 279-4800

Fax(971) 279-2051

Sole ProprietorNo

Enumeration DateOctober 6, 2021

Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration

NPPES CertifiedOctober 20, 2022

✔ NPI 1083376156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · 22-QMHA-R-2352

12360 E BURNSIDE ST, Portland, OR 97233

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Other Names 1

Other Name (5)Reyah L Travis Qmha

Other Identifiers 1

Medicaid500800531OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL T HIRSCH PCA/QMHP-C

Counselor