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

Jennifer Ludtke, ATC

Individual provider Athletic Trainer · NPI 1033528443

Jennifer Ludtke, ATC is an Athletic Trainer in Portland, Oregon. Works from 2 locations. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2014
Specialties on file
2
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

5210 N Kerby Ave
Portland, OR 97217-2699
Phone: (559) 707-1953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11361 Sw Leveton Dr, Tualatin, OR 97062 — (559) 707-1953

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000018517 (CA)
Athletic Trainer Taxonomy 2255A2300X · Licence AT-AT-10206431 (OR)

Record details

NPI number1033528443
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedAugust 11, 2014
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 18, 2022

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