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KIM DEAVER ATC
NPI 1760663918
Specialist/Technologist - Athletic Trainer in Lake Oswego, OR

Active since November 15, 2007
1235 OVERLOOK DR, LAKE OSWEGO, OR 97034(503) 534-2407 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Deaver Atc NPPES

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

KIM DEAVER ATC (NPI 1760663918) is an individual athletic trainer provider in Lake Oswego, Oregon, licensed in Oregon (ATAT1007932) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1760663918
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKIM DEAVERCredential: ATC
Location Address1235 OVERLOOK DRLake Oswego, OR 97034-6945
Mailing Address1235 Overlook DrLake Oswego, OR 97034-6945 · (503) 534-2407
Phone(503) 534-2407
Sole ProprietorNo
Enumeration DateNovember 15, 2007
✔ NPI 1760663918 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 · ATAT1007932
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.
1235 OVERLOOK DR, Lake Oswego, OR 97034
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Other Identifiers 1

OtherATAT1007932OR · Ohla

Other Providers at the Same Location NPPES

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

TARA L HEBERT ATC
Specialist/Technologist (Athletic Trainer)
1235 OVERLOOK DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 534-2407

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 Kim Deaver's NPI number?

The NPI number for Kim Deaver is 1760663918. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Where is Kim Deaver located?

Kim Deaver practices at 1235 Overlook Dr, Lake Oswego, OR 97034. The listed phone number is (503) 534-2407.

What is Kim Deaver'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 Kim Deaver was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.