Individual
JARED HUTCHINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1530 DAUGHERTY AVE, COTTAGE GROVE, OR 97424-4835
(541) 729-0001
(541) 942-7492
Mailing address
1530 DAUGHERTY AVE, COTTAGE GROVE, OR 97424-4835
(541) 729-0001
(541) 942-7492
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT986262
OR
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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