Metro Athletic Trainers Alliance, Aka Mata

NPI #1457313355 in Aloha, Oregon

Provider Information

NPI Number: 1457313355
Entity Type: Organization
Organization Name: Metro Athletic Trainers Alliance, Aka Mata
Primary Specialty: Specialist/Technologist
Enumeration Date: Apr 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5735 SW 170TH AVE
City: Aloha
State: Oregon
ZIP Code: 97007-3318
Phone: (503) 356-0120

Authorized Official

Name: MR. EDWARD JAMES LEWIS, ATC/R
Title: ATHLETIC TRAINER
Phone: (503) 312-2616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist	225500000X	Primary

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