Jordan Bigam, ATC
Specialist/Technologist, Athletic Trainer in Sherwood, OR. Individual provider (NPI-1).
NPI number1134528995
StatusActive
Last updated in NPPESAug 18, 2014
Details
- NPI
- 1134528995
- Entity type
- Individual (NPI-1)
- Name
- Jordan Bigam
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2014
- Last updated
- Aug 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
20385 Sw Edy RdSherwood, OR 97140-7407
Phone 503-929-2809
Mailing address
20385 Sw Edy RdSherwood, OR 97140-7407
Phone 503-929-2809
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