STEFANIE J BORN

GRESHAM, OR
NPI1659429082
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-1001505)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
-- STEFANIE J BORN ATC
24076 SE STARK ST SUITE 200
GRESHAM, OR 97030-3373
Phone number: 503-491-1666
Mailing Address
-- STEFANIE J BORN ATC
765 SE MOUNT HOOD HWY #J271
GRESHAM, OR 97080-7131
Phone number: 503-666-6549
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