Individual
MR. TRAVIS LALOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC-R
Contact information
Practice address
16956 SW MEINECKE RD, SHERWOOD, OR 97140-9061
(503) 825-5566
(503) 825-5501
Mailing address
16956 SW MEINECKE RD, SHERWOOD, OR 97140-9061
(503) 825-5566
(503) 825-5501
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10119235
OR
Other
Enumeration date
04/27/2009
Last updated
09/28/2009
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