NPI 1063902781

Mallory R Whitman

Practitioner Athletic Trainer Corvallis, OR

Practice location

Address: 114 Gill Coliseum, Corvallis, OR 97331-8547
Phone: (541) 231-4998

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1063902781
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 May 2018
Record last updated: 10 Jun 2021

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.