Individual
MR. JONATHAN GLENN HUWE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATCR
Contact information
Practice address
930 SW HALL,, RM 143A, PORTLAND, OR 97201
(503) 725-4073
(503) 725-5641
Mailing address
14129 SE WOODWARD ST, PORTLAND, OR 97236-2639
(503) 407-7206
(503) 725-5641
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-808246
OR
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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