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Individual

APRIL ANN BUMANLAG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
530 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 98438-1304
(253) 967-1110
Mailing address
17615 SW MEADOWBROOK WAY, BEAVERTON, OR 97078-1742
(503) 516-3218

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10226990
OR

Other

Enumeration date
10/17/2022
Last updated
10/20/2022
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