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