NPI 1225483480

Tyler Gilmore

Practitioner Athletic Trainer Salem, OR

Practice location

Address: 685 36th Ave NE, Salem, OR 97301-4741
Phone: (503) 540-8701
Mailing address: 1818 Pepper Tree CT SE, Salem, OR 97306-1462

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-AT-10130932 (OR)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1225483480
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2016
Record last updated: 25 Apr 2016

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.