NPI 1417098443

Alma Rae Mattocks, ATC

Practitioner Athletic Trainer Forest Grove, OR

Practice location

Address: 2043 College Way, Forest Grove, OR 97116-1756
Phone: (503) 352-2780
Mailing address: Northern Kentucky University Nunn Drive / Hc 116, Highland Heights, KY 41099

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-AT-1005014 (OR)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1417098443
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Feb 2007
Record last updated: 10 Jan 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.