IndividualActive
Stefanie Born, ATC
NPI 1659429082 · Athletic Trainer · Gresham, OR
Provider details
- NPI number
- 1659429082
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT-AT-1001505 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24076 Se Stark St
Suite 200
Gresham, OR 97030-3373
Phone: (503) 491-1666
Fax: (503) 491-1667
Street-level locationGet directions
Mailing address
765 Se Mount Hood Hwy
Gresham, OR 97080-7131
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.