NPI 1205348547

Ryan Ishihara, ATC

Practitioner Athletic Trainer Salem, OR

Practice location

Address: 765 14th St NE, Salem, OR 97301-2611
Phone: (808) 292-6907
Fax: (808) 292-6907

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-AT-10182504 (OR)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1205348547
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2017
Record last updated: 26 Oct 2017

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.