Individual
MS. LAURA KENOW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
900 SE BAKER ST, MCMINNVILLE, OR 97128-6808
(503) 883-2580
(503) 883-2453
Mailing address
383 NW COUNTRY CT, MCMINNVILLE, OR 97128-9782
(503) 883-2580
(503) 883-2453
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-521065
OR
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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