COREY J YATES

SALEM, OR
NPI1346203791
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT AT 621435)
Enumeration Date2006-04-07
Last Update Date2007-07-08
Business Address
-- COREY J YATES ATC
685 36TH AVE NE
SALEM, OR 97301-4741
Phone number: 503-371-8860
Mailing Address
-- COREY J YATES ATC
3736 SARAMAE LN NE
KEIZER, OR 97303-4054
Phone number: 503-371-8860