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 |