Individual
CASSIDY SOISTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14475 SW SEXTON MOUNTAIN DR APT H, BEAVERTON, OR 97008-5670
(907) 299-3116
Mailing address
14475 SW SEXTON MOUNTAIN DR APT H, BEAVERTON, OR 97008-5670
(907) 299-3116
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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