Laura Waller, ATC
NPI #1386102432 in Mcminnville, Oregon
Provider Information
- NPI Number
- 1386102432
- Entity Type
- Individual
- Name
- Laura Waller, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Mar 7, 2019
- Last Updated
- Mar 7, 2019
Practice Location
- Address
- 615 NE 15TH ST
- City
- Mcminnville
- State
- Oregon
- ZIP Code
- 97128-3399
- Phone
- (503) 565-4200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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