Individual
ELYSSA ANNE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
6761 NE VININGS WAY APT 638, HILLSBORO, OR 97124-7971
(541) 991-2455
Mailing address
6761 NE VININGS WAY APT 638, HILLSBORO, OR 97124-7971
(541) 991-2455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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