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CONNIE WANG MS, ATC/R
NPI 1639678105
Specialist/Technologist - Athletic Trainer in Portland, OR

Active since February 09, 2018
2219 SE 68TH AVE, PORTLAND, OR 97215(503) 517-1063 Get Directions Write a Review

NPPES record last updated: February 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Connie Wang Ms, Atc/r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE WANG MS, ATC/R (NPI 1639678105) is an individual athletic trainer provider in Portland, Oregon, licensed in Oregon (AT-AT-10184976) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1639678105
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameCONNIE WANGCredential: MS, ATC/R
Location Address2219 SE 68TH AVEPortland, OR 97215-4026
Mailing Address139 Se 81st AvePortland, OR 97215-1530
Phone(503) 517-1063
Sole ProprietorNo
Enumeration DateFebruary 9, 2018
✔ NPI 1639678105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in OR · AT-AT-10184976
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
2219 SE 68TH AVE, Portland, OR 97215
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDON TYLER RIEDEL ATC
Specialist/Technologist (Athletic Trainer)
2219 SE 68TH AVE
PORTLAND, OR 97215
Multnomah County (503) 517-1063
KIANA LACADEN
Specialist/Technologist (Athletic Trainer)
2219 SE 68TH AVE
PORTLAND, OR 97215
Multnomah County (503) 517-1063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Wang's NPI number?

The NPI number for Connie Wang is 1639678105. It was assigned to this individual provider in the NPPES registry on February 9, 2018.

Where is Connie Wang located?

Connie Wang practices at 2219 SE 68th Ave, Portland, OR 97215. The listed phone number is (503) 517-1063.

What is Connie Wang's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Connie Wang was last updated on February 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.