RYAN LEE ROCKWOOD

PORTLAND, OR
NPI1548690860
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  10121130)
Enumeration Date2013-11-22
Last Update Date2013-11-22
Business Address
Mr. RYAN LEE ROCKWOOD ATC
3303 SW BOND AVE # CHH3T
PORTLAND, OR 97239-4501
Phone number: 503-494-3151
Mailing Address
Mr. RYAN LEE ROCKWOOD ATC
3303 SW BOND AVE # CHH3T
PORTLAND, OR 97239-4501
Phone number: 503-494-3151