| NPI | 1306131032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE BECKMANN Owner 503-990-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OR DP00434) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |