ASHLEY HEACOCK

DAMASCUS, OR
NPI1700385572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-10154081)
Enumeration Date2018-02-07
Last Update Date2018-02-07
Business Address
ASHLEY HEACOCK ATC
15690 SE HEIDI LN
DAMASCUS, OR 97089-2752
Phone number: 503-459-1811
Mailing Address
ASHLEY HEACOCK ATC
15690 SE HEIDI LN
DAMASCUS, OR 97089-2752
Phone number: 503-459-1811