Individual provider · Type 1 NPI

Travis Scott Petchell, QMHA-R, PWS

Mental Health Counselor · Portland, OR

NPI number 1629825906 Active

Practice location

1438 SE Division St
Portland, OR 97202-1140

Call (503) 224-1044 Map

Fax (971) 260-0355

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XTHW000108531 (OR)
Mental Health Counselor Primary 101YM0800X25-QMHA-R-7767 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1629825906

Travis Scott Petchell, QMHA-R, PWS's National Provider Identifier is 1629825906, issued on May 3, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 26, 2026.