Individual
COLIN MICHAEL SZABO MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
236 KERR ADMINISTRATION BLDG, CORVALLIS, OR 97331-8578
(559) 396-5794
Mailing address
3093 MAIN ST APT 324, PHILOMATH, OR 97370-2128
(559) 396-5794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
BOC153830
OR
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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