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1215778261
MAX WELCH
PORTLAND, OR
NPI
1215778261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR 10230606)
Enumeration Date
2024-06-04
Last Update Date
2024-06-04
Business Address
MAX WELCH MATRN, LAT, ATC
11020 N LOMBARD ST
PORTLAND, OR 97203-6424
Phone number: 503-830-7027
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Mailing Address
MAX WELCH MATRN, LAT, ATC
1513 SE YUKON ST
PORTLAND, OR 97202-5317
Phone number: 503-490-4775
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