BRANDON WALCOTT-AYERS

MONMOUTH, OR
NPI1053760611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  2000024240)
Enumeration Date2016-06-05
Last Update Date2019-05-14
Business Address
BRANDON WALCOTT-AYERS ATC
345 MONMOUTH AVE N
MONMOUTH, OR 97361-1329
Phone number: 503-838-8251
Mailing Address
BRANDON WALCOTT-AYERS ATC
3755 SE 10TH AVE
PORTLAND, OR 97202-3713
Phone number: 925-212-1093
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