Individual
MISS GRETCHEN MARIE NYLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2400 DOUGLAS AVE, NEWBERG, OR 97132-1461
(503) 554-5255
Mailing address
15411 SW PLEASANT VALLEY RD, BEAVERTON, OR 97007-9798
(503) 628-6889
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT- AT 408667
OR
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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