NOAH JAMES DELISLE

PORTLAND, OR
NPI1417661828
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  10202246)
Enumeration Date2023-01-10
Last Update Date2023-01-10
Business Address
NOAH JAMES DELISLE ATC, LAT
5510 SE RHONE ST
PORTLAND, OR 97206-2966
Phone number: 360-524-2986
Mailing Address
NOAH JAMES DELISLE ATC, LAT
5510 SE RHONE ST APT SUITE
PORTLAND, OR 97206-2966
Phone number: 360-524-2986
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