Individual
REBECCA ANNE FEUERHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 8TH AVE, SUITE D, WEST LINN, OR 97068-4657
(503) 387-5449
Mailing address
2020 8TH AVE, SUITE D, WEST LINN, OR 97068-4657
(503) 387-5449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10156992
OR
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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