MR. Bruce Glen Scanlon, ATC/R
NPI #1164485249 in Mcminnville, Oregon
Provider Information
- NPI Number
- 1164485249
- Entity Type
- Individual
- Name
- MR. Bruce Glen Scanlon, ATC/R
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC/R
- Enumeration Date
- Apr 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 615 NE 15TH ST
- City
- Mcminnville
- State
- Oregon
- ZIP Code
- 97128-3317
- Phone
- (503) 565-4357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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| MR. Kenneth Earl Baker, MS, ATC/R | |
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| Laura Waller, ATC |
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