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

Mr. Roger A Doak, AT

Individual provider Athletic Trainer · NPI 1629617402

Mr. Roger A Doak, AT is an Athletic Trainer in Portland, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

1100 Ionia Rd
Portland, MI 48875-1035
Phone: (616) 780-1188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 E Michigan Ave, Lansing, MI 48912-1811 — (517) 364-1000

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601000486 (MI)

Record details

NPI number1629617402
Entity typeIndividual (Type 1)
GenderMale
Credentials AT
Sole proprietorNo
NPI enumeratedDecember 27, 2019
Last updated in NPPESDecember 27, 2019
Certification dateDecember 27, 2019
Mailing address7222 Cedar Ridge Dr, Portland, MI 48875-8678