Jill Main, ATC-R

NPI #1821499559 in Keizer, Oregon

Provider Information

NPI Number
1821499559
Entity Type
Individual
Name
Jill Main, ATC-R
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC-R
Enumeration Date
Sep 12, 2014
Last Updated
Sep 12, 2014

Practice Location

Address
595 CHEMAWA RD N
City
Keizer
State
Oregon
ZIP Code
97303-5332
Phone
(541) 852-9128

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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