| NPI | 1124507827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALBERT GENTILE President 503-536-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP00371) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2019-07-30 |