Eli Peckham, ATC

Athletic Trainer · Portland, OR

Individual Active NPI

NPI number 1063911758

Practice location

930 SW Hall St
Portland, OR 97201
Phone
(206) 295-7320

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NPI record

NPI
1063911758
Entity type
Individual (Type 1)
Enumeration date
February 8, 2018
Last updated
June 15, 2023
Certified
June 6, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

100 SE Olympia Dr Apt 120
Vancouver, WA 98684-6941

About Eli Peckham

Eli Peckham, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 930 SW Hall St, Portland, OR 97201. The NPI number 1063911758 was assigned on February 8, 2018 and the record was last updated on June 15, 2023.

Frequently asked questions

What is the NPI number of Eli Peckham, ATC?

The NPI number is 1063911758.

What is the phone number of Eli Peckham?

The phone number listed for the practice location is (206) 295-7320.

Where is Eli Peckham located?

930 SW Hall St, Portland, OR 97201.

What is the taxonomy code for Eli Peckham?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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