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TRAVIS KANE
NPI 1922814052
Peer Specialist in Medford, OR

Active since December 04, 2024
1003 E MAIN ST STE 104, MEDFORD, OR 97504(541) 779-1282 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Travis Kane NPPES

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

TRAVIS KANE (NPI 1922814052) is an individual peer specialist in Medford, Oregon and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1922814052
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTRAVIS KANE
Location Address1003 E MAIN ST STE 104Medford, OR 97504-7140
Mailing Address1003 E Main St Ste 104Medford, OR 97504-7140 · (541) 779-1282
Phone(541) 779-1282
Sole ProprietorYes
Enumeration DateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1922814052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1003 E MAIN ST STE 104, Medford, OR 97504
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MR. DANIEL WAYNE INGHAM CRM
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
GALEN O'NEIL CRM
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
DEENENA NELSON
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
LETICIA PARRA AGUILAR SUPPORT STAFF
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
SUNSHINE M LACZKOWSKI
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
JEFFREY D BROWN
Counselor (Addiction (Substance Use Disorder))
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
ERIC SCOTT SPENCER CADC-R
Counselor
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
CHRISTINE MASON
Counselor (Addiction (Substance Use Disorder))
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Travis Kane's NPI number?

The NPI number for Travis Kane is 1922814052. It was assigned to this individual provider in the NPPES registry on December 4, 2024.

Where is Travis Kane located?

Travis Kane practices at 1003 E Main St Ste 104, Medford, OR 97504. The listed phone number is (541) 779-1282.

What is Travis Kane's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Travis Kane was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.