Individual
JOEL JAMES MARICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC-R
Contact information
Practice address
5000 N WILLAMETTE BLVD, PORTLAND, OR 97203-5743
(503) 943-7462
(503) 943-7532
Mailing address
5211 NE CHATEAU DR, VANCOUVER, WA 98661-2751
(360) 694-1284
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10113264
OR
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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