Individual
BAILEY NICOLE TORREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1844 SW MORRISON ST, PORTLAND, OR 97205-1605
(775) 843-5135
Mailing address
1753 NE 47TH AVE, PORTLAND, OR 97213-2009
(775) 843-5135
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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