| NPI | 1225567928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L ROBERTS Practice Manager 503-659-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: OR MD183085) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-08-29 |