Individual
ADAM TOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
353 GLEN CREEK RD NW, SALEM, OR 97304-3000
(503) 507-6082
Mailing address
353 GLEN CREEK RD NW, SALEM, OR 97304-3000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10164926
OR
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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