Individual
ANNIKA BRANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1832 NW 24TH AVE, PORTLAND, OR 97210-2538
(541) 915-2387
Mailing address
6335 NE 25TH AVE, PORTLAND, OR 97211-6043
(541) 915-2387
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-1006937
OR
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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