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Individual

ELENA PANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2214 PACIFIC AVE # 164, FOREST GROVE, OR 97116-2448
(971) 312-8630
Mailing address
2214 PACIFIC AVE # 164, FOREST GROVE, OR 97116-2448

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/01/2018
Last updated
06/01/2018
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