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
State
Oregon
ZIP Code
97128-3317
Phone
(503) 565-4357

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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