| NPI | 1326625856 |
|---|---|
| Doing Business As | OREGON FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | KEVIN DRISCOLL Physician 503-255-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-06-19 |