ELI PECKHAM

PORTLAND, OR
NPI1063911758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-02-08
Last Update Date2023-06-15
Business Address
ELI PECKHAM ATC
930 SW HALL ST
PORTLAND, OR 97201
Phone number: 206-295-7320
Mailing Address
ELI PECKHAM ATC
100 SE OLYMPIA DR APT 120
VANCOUVER, WA 98684-6941
Phone number: