Individual
EMILY RENEE SPIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
930 SW HALL ST, PORTLAND, OR 97201
(503) 725-4073
(503) 725-5641
Mailing address
5125 SW SCHOLLS FERRY RD APT 11, PORTLAND, OR 97225-1661
(970) 846-2887
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10192097
OR
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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