Individual
LANAY EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 480, CLATSKANIE, OR 97016-0480
(650) 823-8471
Mailing address
PO BOX 480, CLATSKANIE, OR 97016-0480
(650) 823-8471
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/27/2025
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