Individual
NATALIE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1303 NE CUSHING DR STE 100, BEND, OR 97701-3887
(541) 388-2333
Mailing address
PO BOX 6891, BEND, OR 97708-6891
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-10196770
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000014871
NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION, INC.
—
01
—
AT-10196770
OREGON HEALTH LICENSING
OR
Enumeration date
01/30/2015
Last updated
11/18/2020
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