| NPI | 1023185055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUY-TRANG LAM President, Dpm 503-652-9671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: OR DP00267) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OR DP00267) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-01-15 |