Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Widman, ATC

Individual provider Athletic Trainer · NPI 1710361225

Amanda Widman, ATC is an Athletic Trainer in Vancouver, Washington. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

6700 NE 162nd Ave Ste 411
Vancouver, WA 98682-3863
Phone: (509) 703-8880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000021970

Record details

NPI number1710361225
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 14, 2015
Last updated in NPPESJuly 14, 2015
Mailing addressPo Box 236, Baker City, OR 97814-0236

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