KIM DEAVER

LAKE OSWEGO, OR
NPI1760663918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  ATAT1007932)
Enumeration Date2007-11-15
Last Update Date2007-11-15
Business Address
-- KIM DEAVER ATC
1235 OVERLOOK DR
LAKE OSWEGO, OR 97034-6945
Phone number: 503-534-2407
Mailing Address
-- KIM DEAVER ATC
1235 OVERLOOK DR
LAKE OSWEGO, OR 97034-6945
Phone number: 503-534-2407
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