Individual
MAX WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MATRN, LAT, ATC
Contact information
Practice address
11020 N LOMBARD ST, PORTLAND, OR 97203-6424
(503) 830-7027
Mailing address
1513 SE YUKON ST, PORTLAND, OR 97202-5317
(503) 490-4775
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10230606
OR
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
About Stedi
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