Individual
AIMEE PASCALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1910 COLUMBIA ST, EUGENE, OR 97403-1440
(914) 262-3935
Mailing address
1910 COLUMBIA ST, EUGENE, OR 97403-1440
(914) 262-3935
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10144240
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT-AT-10144240
OREGON HEALTH LICENSING AGENCY
OR
Enumeration date
12/11/2011
Last updated
12/11/2011
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