CONNIE WANG

PORTLAND, OR
NPI1639678105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-10184976)
Enumeration Date2018-02-09
Last Update Date2018-02-09
Business Address
CONNIE WANG MS, ATC/R
2219 SE 68TH AVE
PORTLAND, OR 97215-4026
Phone number: 503-517-1063
Mailing Address
CONNIE WANG MS, ATC/R
139 SE 81ST AVE
PORTLAND, OR 97215-1530
Phone number:
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