Individual
MCKALEY BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/R
Contact information
Practice address
2954 NE EVANS ST, #60, MCMINNVILLE, OR 97128-8267
(206) 898-1164
Mailing address
2954 NE EVANS ST, #60, MCMINNVILLE, OR 97128-8267
(206) 898-1164
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A160422220
WA
2255A2300X
Athletic Trainer
Primary
AT-AT-10159451
OR
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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