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Contact Information

METRO ATHLETIC TRAINERS ALLIANCE, AKA MATA
5735 SW 170TH AVE
ALOHA, OR97007-3318
 Phone: 503-356-0120
 Fax: 503-693-2330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for METRO ATHLETIC TRAINERS ALLIANCE, AKA MATA

NPI # 1457313355
LBN Legal business name METRO ATHLETIC TRAINERS ALLIANCE, AKA MATA
Authorized official EDWARD LEWIS - (ATHLETIC TRAINER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/05/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OR License # ATAT142301
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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