Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM DEAVER, ATC
ActiveKIM DEAVER, ATC is a Athletic Trainer healthcare provider located in LAKE OSWEGO, Oregon. NPI 1760663918 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LAKE OSWEGO, OR
Registration Details
- NPI Number
- 1760663918
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2007 (18.713987478852 yrs)
- Last Updated
- Nov 15, 2007
- License
-
ATAT1007932 (OR)
Practice Information
- Address
-
1235 OVERLOOK DRLAKE OSWEGO, OR, 970346945Browse OR providers · Browse ZIP 97034
- Phone
- 5035342407
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LAKE OSWEGO, OR
| Name | Credential | NPI |
|---|---|---|
| TARA L HEBERT | ATC | 1265498737 |
| SCOTT PARKER | MS, ATC | 1669724431 |
| EMILY LISKA | — | 1184256562 |
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.