Individual
ZOEY LOUISE DAHME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9635 SW 74TH AVE, TIGARD, OR 97223-9137
(503) 713-8223
Mailing address
9635 SW 74TH AVE, TIGARD, OR 97223-9137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MBJ994392186
BLUE CROSS
—
Enumeration date
03/05/2020
Last updated
03/05/2020
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