RYAN GREY EYTALIS-MAINS

PORTLAND, OR
NPI1649802570
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2020-02-09
Last Update Date2024-06-19
Business Address
Mr. RYAN GREY EYTALIS-MAINS MAT, LAT, ATC
909 SW 18TH AVE
PORTLAND, OR 97205-1705
Phone number: 907-240-8556
Mailing Address
Mr. RYAN GREY EYTALIS-MAINS MAT, LAT, ATC
7952 SE ASPEN SUMMIT DR APT 150
PORTLAND, OR 97266-9212
Phone number: 907-240-8556