Individual
PHILIP RAYMOND LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, MS
Contact information
Practice address
2043 COLLEGE WAY, PAC CENTER, FOREST GROVE, OR 97116-1756
(503) 352-2014
(503) 352-2839
Mailing address
2043 COLLEGE WAY, PAC CENTER, FOREST GROVE, OR 97116
(503) 352-2014
(503) 352-2839
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATAT10118984
OR
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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