Individual
ANDREW TRAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
OREGON STATE FORCE LAB, 2200 NE NEFF RD SUITE 202, BEND, OR 97701
(404) 401-1596
Mailing address
140 SE MAYBERRY AVE, CORVALLIS, OR 97333-1737
(404) 401-1596
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-10135659
OR
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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