Individual
MIKAYLA JEPPSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 MICHAEL WAY, AUMSVILLE, OR 97325-8930
(503) 689-3152
Mailing address
470 MICHAEL WAY, AUMSVILLE, OR 97325-8930
(503) 689-3152
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
11/27/2023
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