Individual
HOLLIE N TIRRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CKTP
Contact information
Practice address
527 SW HALL ST, PORTLAND, OR 97201-5230
(503) 725-4073
Mailing address
1474 NW 189TH WAY, APT 8, BEAVERTON, OR 97006-6928
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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