Philip Raymond Lentz, ATC, MS
NPI #1164618823 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1164618823
- Entity Type
- Individual
- Name
- Philip Raymond Lentz, ATC, MS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, MS
- Enumeration Date
- Sep 17, 2007
- Last Updated
- Sep 17, 2007
Practice Location
- Address
- 2043 COLLEGE WAY
- Address 2
- PAC CENTER
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-1756
- Phone
- (503) 352-2014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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