Individual
MR. MASON PAUL BRUNETTE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
14925 SW OPAL DR, BEAVERTON, OR 97007-8787
(503) 799-4315
Mailing address
14925 SW OPAL DR, BEAVERTON, OR 97007-8787
(503) 799-4315
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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