Individual
MADELINE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 SW BRUMBACK ST, MCMINNVILLE, OR 97128-6899
(503) 883-2622
Mailing address
190 SW BRUMBACK ST, MCMINNVILLE, OR 97128-6899
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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