NPI | 1225588783 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL ANNE JANOWICZ Owner/Podiatrist 503-869-2971 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: AZ 0829) |
Additional Taxonomies | 213E00000X Podiatrist |
Enumeration Date | 2016-10-09 |
Last Update Date | 2021-10-14 |