Individual
EMMA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
355 NE 6TH AVE, ESTACADA, OR 97023-9333
(503) 427-8045
Mailing address
25125 SE LAMAR LN, EAGLE CREEK, OR 97022-8819
(971) 227-0598
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-10194876
OR
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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