NPI 1013480714

Andrew Traut, ATC

Practitioner Athletic Trainer Bend, OR

Practice location

Address: Oregon State Force Lab 2200 NE Neff Rd Suite 202, Bend, OR 97701
Phone: (404) 401-1596
Mailing address: 140 SE Mayberry Ave, Corvallis, OR 97333-1737

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-10135659 (OR)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1013480714
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2019
Record last updated: 4 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.