JOHN EGDORF

PORTLAND, OR
NPI1013640648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG216238)
Enumeration Date2022-07-01
Last Update Date2023-06-24
Business Address
JOHN EGDORF DPM
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-8401
Mailing Address
JOHN EGDORF DPM
3200 GRAND AVE
DES MOINES, IA 50312-4104
Phone number:
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