Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Travis Scott Petchell, QMHA-R, PWS

Individual provider Peer Specialist · NPI 1629825906

Travis Scott Petchell, QMHA-R, PWS is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1438 SE Division St
Portland, OR 97202-1140
Phone: (503) 224-1044
Fax: (971) 260-0355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 25-QMHA-R-7767 (OR)
Peer Specialist Taxonomy 175T00000X · Licence THW000108531 (OR)

Record details

NPI number1629825906
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHA-R , PWS
Sole proprietorNo
NPI enumeratedMay 3, 2024
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

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