Individual
ASHLEY ANJELICA NEUHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
15796 SE MCLOUGHLIN BLVD, OAK GROVE, OR 97267-3854
(503) 653-5763
Mailing address
361 NE 4TH AVE, CANBY, OR 97013-3111
(503) 260-6299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10183364
OR
Other
Enumeration date
10/27/2018
Last updated
10/27/2018
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