Unknown Individual – Athletic Trainer, NPI 1144283128
Athletic Trainer
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6209, Northeast 24th Avenue, Concordia, Portland, Multnomah County, Oregon, 97211, United States
PORTLAND, OR 972116005
Phone: (503) 284-8629
Type: Mailing
Peter W. Stott Center and Viking Pavilion, 930, Southwest Hall Street, University District, Downtown, Portland, Multnomah County, Oregon, 97201, United States
PORTLAND, OR 97201
Phone: (503) 725-4073
Fax: (503) 725-5641
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97211)
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