Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ryan Grey Eytalis-Mains, MAT, LAT, ATC

Individual provider Athletic Trainer · NPI 1649802570

Mr. Ryan Grey Eytalis-Mains, MAT, LAT, ATC is an Athletic Trainer in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

909 SW 18th Ave
Portland, OR 97205-1705
Phone: (907) 240-8556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1649802570
Entity typeIndividual (Type 1)
GenderMale
Credentials MAT , LAT , ATC
Sole proprietorYes
NPI enumeratedFebruary 9, 2020
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

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