Cherie Allcroft, ATC
Individual provider Active NPI Athletic Trainer · Milwaukie, OR
NPI 1750415899 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750415899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1009886 (OR)
- Practice address
- 11999 SE Fuller Rd
Milwaukie, OR 97222-1203 - Phone
- (503) 659-4115
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1009886 | OR | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1009886 | OR | Yes |
Addresses
Primary practice location
11999 SE Fuller Rd
Milwaukie, OR 97222-1203
Mailing address
11000 SW Walnut St Apt B
Tigard, OR 97223-4045
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.