Individual
JON MACGREGOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1844 SW MORRISON ST, PORTLAND, OR 97205-1605
(614) 772-1777
Mailing address
1844 SW MORRISON ST, PORTLAND, OR 97205-1605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
080802128
—
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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