Individual
MARK DONALD ULBRICHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1250 SISKIYOU BLVD, ASHLAND, OR 97520-5001
(541) 552-6550
Mailing address
2630 W MAIN ST UNIT 11, MEDFORD, OR 97501-3697
(503) 739-0550
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10211957
OR
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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