NPI | 1124661517 |
---|---|
Doing Business As | CASCADE FOOT CENTER |
Entity Type | Organization |
Authorized Contact | TREVOR W TIPPETS Owner 503-588-8188 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
Enumeration Date | 2019-10-18 |
Last Update Date | 2019-10-18 |