Madeline Meyer

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · McMinnville, OR

NPI 1790284271 · NPPES record last updated Feb 9, 2018

Key facts

NPI
1790284271
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
190 SW Brumback St
McMinnville, OR 97128-6899
Phone
(503) 883-2622
NPI assigned
Feb 9, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

190 SW Brumback St
McMinnville, OR 97128-6899

Mailing address

190 SW Brumback St
McMinnville, OR 97128-6899

Other providers in McMinnville, OR

All providers in McMinnville, OR · Student in an Organized Health Care Education/Training Program in Oregon

Sources for this page

Verify at the official NPI Registry.