Individual
JULIE LEA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC/L
Contact information
Practice address
400 W HARVARD AVE, ROSEBURG, OR 97470-3012
(541) 440-4161
Mailing address
400 W HARVARD AVE, ROSEBURG, OR 97470-3012
(541) 440-4161
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10146838
OR
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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