Individual
CLAIRE ELEANOR IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2200 NE NEFF RD, STE 200, BEND, OR 97701-4283
(541) 382-3344
Mailing address
2200 NE NEFF RD, STE 200, BEND, OR 97701-4283
(541) 382-3344
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10144375
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT-AT-10144375
OREGON HEALTH LICENSING
OR
Enumeration date
09/25/2013
Last updated
09/25/2013
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