Individual
MR. DYLAN JAMES BORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1652
(253) 968-1110
Mailing address
1288 SPEARS AVE SE, SALEM, OR 97302-1652
(503) 459-1870
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1000465
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153237
ATHLETIC TRAINER
OR
Enumeration date
06/29/2013
Last updated
10/31/2023
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