Individual
KENDRA AUGUSTINE CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7325 SW CHILDS RD, PORTLAND, OR 97224-7713
(361) 537-8901
Mailing address
7325 SW CHILDS RD, PORTLAND, OR 97224-7713
(361) 537-8901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATAT10179031
OR
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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