Individual
KANDICE VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9923 SW ARCTIC DR, BEAVERTON, OR 97005-4194
(503) 646-8482
Mailing address
5230 SE OAKLAND AVE, MILWAUKIE, OR 97267-5019
(503) 388-8691
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10141419
OR
Other
Enumeration date
12/07/2019
Last updated
12/07/2019
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