Individual provider · Type 1 NPI

Victoria Grace Mosse, MA, ATC, PTA

Athletic Trainer · Portland, OR

NPI number 1104807585 Active

Practice location

1620 SE Ankeny St
Portland, OR 97214-1448

Call (503) 546-0620 Map

Fax (503) 546-0620

Mailing address

7108 N Ivanhoe St
Portland, OR 97203-3943

Specialties and licenses

Taxonomy	Code	License
Athletic Trainer Primary	2255A2300X	AT-AT 503236 (OR)

Athletic Trainer: 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 advanc…

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About NPI 1104807585

Victoria Grace Mosse, MA, ATC, PTA's National Provider Identifier is 1104807585, issued on Nov 10, 2005. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2026.