Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Travis Tyler Boles

Individual provider Mental Health Counselor · NPI 1073254603

Travis Tyler Boles is a Mental Health Counselor in Jasper, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

37875 Jasper Lowell Rd
Jasper, OR 97438-9751
Phone: (541) 747-1235
Fax: (541) 747-4722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 101YM0800X (OR)

Record details

NPI number1073254603
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022
Mailing address37875 Jasper Lowell Rd, Jasper, OR 97438-9751

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