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Organization

METRO ATHLETIC TRAINERS ALLIANCE, AKA MATA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD JAMES LEWIS ATC/R (ATHLETIC TRAINER)
(503) 312-2616
Entity
Organization

Contact information

Practice address
5735 SW 170TH AVE, ALOHA, OR 97007-3318
(503) 356-0120
(503) 693-2330
Mailing address
5735 SW 170TH AVE, ALOHA, OR 97007-3318
(503) 356-0120
(503) 693-2330

Taxonomy

Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
ATAT142301
OR

Other

Enumeration date
04/05/2006
Last updated
08/22/2020
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