Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KYLAN BROOK JORGENSEN, MS, ATC
Active Sole ProprietorMRS. KYLAN BROOK JORGENSEN, MS, ATC is a Athletic Trainer healthcare provider located in LA GRANDE, Oregon. NPI 1538231121 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LA GRANDE, OR
Registration Details
- NPI Number
- 1538231121
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2006 (19.718002764832 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT-AT-1000722 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2519 COVE AVELA GRANDE, OR, 978503910Browse OR providers · Browse ZIP 97850
- Phone
- 5419620830
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LA GRANDE, OR
| Name | Credential | NPI |
|---|---|---|
| ANGELA CAIN | MS ATC, PTA | 1306204409 |
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.