Individual
BAILEY MICHELLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3521 NE 154TH AVE, PORTLAND, OR 97230-4677
(503) 758-6011
Mailing address
3521 NE 154TH AVE, PORTLAND, OR 97230-4677
(503) 758-6011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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