NPI 1033528443

Jennifer Ludtke, ATC

Practitioner Athletic Trainer Portland, OR

Practice location

Address: 5210 N Kerby Ave, Portland, OR 97217-2699
Phone: (559) 707-1953
Mailing address: 1739 NE 47th Ave, Portland, OR 97213-2009

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2000018517 (CA)

Other Specialist/Technologist providers in Oregon →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-AT-10206431 (OR)

Registry record

NPI: 1033528443
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2014
Record last updated: 24 Jan 2022

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.