| NPI | 1316153018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R PALMER Owner 503-255-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP00202) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2010-04-20 |