Individual
KATHERINE DONNELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
909 SW 18TH AVE, PORTLAND, OR 97205-1705
(503) 962-1900
Mailing address
909 SW 18TH AVE, PORTLAND, OR 97205-1705
(503) 962-1900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10144066
OR
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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