Individual
JESSICA LYNN MARTSCHINSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC/L, OTC
Contact information
Practice address
11782 SW BARNES RD, SUITE 300, PORTLAND, OR 97225-5914
(503) 214-5200
(503) 906-6613
Mailing address
11782 SW BARNES RD, SUITE 300, PORTLAND, OR 97225-5914
(503) 214-5200
(503) 906-6613
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000000929
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000000929
BOARD CERTIFICATION - ATC
NE
Enumeration date
08/08/2012
Last updated
08/08/2012
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