NPI 1386102432

Laura Waller, ATC

Practitioner Athletic Trainer McMinnville, OR

Practice location

Address: 615 NE 15th St, McMinnville, OR 97128-3399
Phone: (503) 565-4200
Mailing address: 2143 Wells Dr, Hood River, OR 97031-8443

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence ATAT10185313 (OR)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1386102432
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2019
Record last updated: 7 Mar 2019

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.