Individual
MICHAEL ESTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1450 E 18TH AVE, APT 4, EUGENE, OR 97403-1416
(541) 788-4682
Mailing address
1450 E 18TH AVE, APT 4, EUGENE, OR 97403-1416
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10159295
OR
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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