Individual provider · NPI-1

Erika Guadalupe Beserra

Specialist/Technologist, Athletic Trainer · Corvallis, OR

NPI number1184122467
StatusActive
Last updated in NPPESFeb 1, 2018

Details

NPI
1184122467
Entity type
Individual (NPI-1)
Name
Miss Erika Guadalupe Beserra
Sex
Female
Sole proprietor
No
Enumeration date
Feb 1, 2018
Last updated
Feb 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

4016 Nw Witham Hill Dr Apt 67
Corvallis, OR 97330-1634

Phone 626-941-4027

Mailing address

4016 Nw Witham Hill Dr Apt 67
Corvallis, OR 97330-1634

Phone 626-941-4027

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Specialist/Technologist, Athletic Trainer providers in Corvallis, OR