MARA BIRGE

PORTLAND, OR
NPI1629492038
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  10150281)
Enumeration Date2014-02-06
Last Update Date2014-02-06
Business Address
-- MARA BIRGE ATC
930 SW HALL ST
PORTLAND, OR 97201
Phone number: 503-725-4073
Mailing Address
-- MARA BIRGE ATC
930 SW HALL ST
PORTLAND, OR 97201
Phone number:
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