IndividualActive
Amanda Shelton, ATC
NPI 1629556451 · Athletic Trainer · Gresham, OR
Provider details
- NPI number
- 1629556451
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10161465 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
26000 Se Stark St
Gresham, OR 97030-3300
Phone: (503) 491-7350
Approximate (ZIP-level) locationGet directions
Mailing address
1930 Nw Front Ave Apt 212
Portland, OR 97209-1849
Registry dates
- Enumerated
- 2018-08-02
- Last updated
- 2018-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.