Provider Demographics
NPI:1861528903
Name:THE ATHLETE'S POINT, LLC
Entity type:Organization
Organization Name:THE ATHLETE'S POINT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SINGLE MANAGER MANAGED LLC
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-221-6631
Mailing Address - Street 1:1427 NW 23RD AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-2660
Mailing Address - Country:US
Mailing Address - Phone:503-221-6631
Mailing Address - Fax:
Practice Address - Street 1:1427 NW 23RD AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2660
Practice Address - Country:US
Practice Address - Phone:503-221-6631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR00899171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty