| NPI | 1083042089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KENNETH RASMUSSEN Owner 503-530-9245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: WA PO60127687) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |