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1598260614
AMY CARROLL
PORTLAND, OR
NPI
1598260614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-10165214)
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
AMY CARROLL ATC, MA
8950 N KELLOGG ST APT 6
PORTLAND, OR 97203-3052
Phone number: 509-336-9231
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Mailing Address
AMY CARROLL ATC, MA
5000 N WILLAMETTE BLVD
PORTLAND, OR 97203-5743
Phone number:
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