| NPI | 1366623134 |
|---|---|
| Doing Business As | MT HOOD PODIATRY |
| Entity Type | Organization |
| Authorized Contact | KESSA MAURAS Doctor 541-386-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: OR DP00203) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2017-02-07 |