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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER LUDTKE, ATC

Active

JENNIFER LUDTKE, ATC is a Athletic Trainer healthcare provider located in PORTLAND, Oregon. NPI 1033528443 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PORTLAND, OR

Registration Details

NPI Number
1033528443
Provider Type
Individual
Gender
Female
NPI Issued
Aug 11, 2014 (11.984448171587 yrs)
Last Updated
Jan 24, 2022
Licenses
AT-AT-10206431 (OR)
2000018517 (CA)

Practice Information

Address
5210 N KERBY AVE
PORTLAND, OR, 972172699
Browse OR providers · Browse ZIP 97217
Phone
5597071953
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in PORTLAND, OR

Name Credential NPI
CHRISTOPHER P DENNETT A.T.C., M.S. 1497743173
MS. VICTORIA GRACE MOSSE MA, ATC,PTA 1104807585
MR. GEOFFREY WAYNE CLARK ATC 1790751600
MR. JONATHAN GLENN HUWE MS, ATCR 1750344826
JENNIFER ERIN ADAMS ATC 1033167838
TREVOR D HOLMAN ATC 1477596963
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.