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Individual

MS. AMY LYNN WEST

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MAT, ATC

Contact information

Practice address
2373 KUEBLER RD S, SALEM, OR 97302-9403
(503) 399-3261
Mailing address
3162 LA COSTA LOOP S, SALEM, OR 97302-9681
(503) 588-1699

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-536245
OR

Other

Enumeration date
04/10/2006
Last updated
07/08/2007
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