Kim Deaver, ATC
NPI #1760663918 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1760663918
- Entity Type
- Individual
- Name
- Kim Deaver, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Nov 15, 2007
- Last Updated
- Nov 15, 2007
Practice Location
- Address
- 1235 OVERLOOK DR
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97034-6945
- Phone
- (503) 534-2407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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