Individual
MALLORY R WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 GILL COLISEUM, CORVALLIS, OR 97331-8547
(541) 231-4998
Mailing address
114 GILL COLISEUM, CORVALLIS, OR 97331-8547
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
06/10/2021
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