Individual
MICHAEL PAUL SANDAGO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
OREGON STATE UNIVERSITY ATHLETICS, GILL COLISEUM, ROOM 104, CORVALLIS, OR 97331-4104
(541) 737-2153
Mailing address
2967 SE SUMMERFIELD DR, CORVALLIS, OR 97333-2175
(541) 753-1503
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-660149
OR
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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