NPI 1164618823

Philip Raymond Lentz, ATCMS

Practitioner Athletic Trainer Forest Grove, OR

Practice location

Address: 2043 College Way Pac Center, Forest Grove, OR 97116-1756
Phone: (503) 352-2014
Fax: (503) 352-2839
Mailing address: 2043 College Way Pac Center, Forest Grove, OR 97116

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence ATAT10118984 (OR)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1164618823
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Sep 2007
Record last updated: 17 Sep 2007

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.