MICHAEL PAUL SANDAGO

CORVALLIS, OR
NPI1144295734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-660149)
Enumeration Date2006-02-17
Last Update Date2007-07-08
Business Address
-- MICHAEL PAUL SANDAGO ATC
OREGON STATE UNIVERSITY ATHLETICS GILL COLISEUM, ROOM 104
CORVALLIS, OR 97331-4104
Phone number: 541-737-2153
Mailing Address
-- MICHAEL PAUL SANDAGO ATC
2967 SE SUMMERFIELD DR
CORVALLIS, OR 97333-2175
Phone number: 541-753-1503