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Kandice Vinson, ATC

Specialist/Technologist, Athletic Trainer in Beaverton, OR. Individual provider (NPI-1).

NPI number1366089435
StatusActive
Last updated in NPPESDec 7, 2019

Details

NPI
1366089435
Entity type
Individual (NPI-1)
Name
Kandice Vinson
Credential
ATC
Sex
Female
Sole proprietor
No
Enumeration date
Dec 7, 2019
Certification date
Dec 7, 2019
Last updated
Dec 7, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT-AT-10141419ORYes

Practice location

9923 Sw Arctic Dr
Beaverton, OR 97005-4194

Phone 503-646-8482

Mailing address

5230 Se Oakland Ave
Milwaukie, OR 97267-5019

Phone 503-388-8691

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