Madelyn Aileen Stockslager, MATRN, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-10245509 Issued in OR

Practice address

721 SW 4TH Ave
Canby, OR 97013-3999

Phone

(503) 263-7200

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1356189807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17124 SW APPLEDALE RD UNIT 304",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970072035",
            "telephone_number": "310-612-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 SW 4TH AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133999",
            "telephone_number": "503-263-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKSLAGER",
        "first_name": "MADELYN",
        "middle_name": "AILEEN",
        "credential": "MATRN, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OR",
            "license": "AT-10245509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Teresa M Starr, HCW
• Roger D. Stewart, D.C.
• Dana Stroud
• Sara Rocio Struiksma, ND
• Michele L Sullivan, LMT
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• Peter C Sunderland, MSN, PMHNP-BC

• Athletic Trainer in Canby, OR
• Providers in Canby, OR by specialty
• Athletic Trainer in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.