WESTSIDE PODIATRY CLINIC LLC

TIGARD, OR
NPI1427164516
Entity TypeOrganization
Authorized ContactJASON R SURRATT
Owner
503-245-2420
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
Enumeration Date2006-08-22
Last Update Date2010-07-21
Business Address
WESTSIDE PODIATRY CLINIC LLC
9900 SW HALL BLVD SUIT 100
TIGARD, OR 97223
Phone number: 503-245-2420
Mailing Address
WESTSIDE PODIATRY CLINIC LLC
9900 SW HALL BLVD SUIT 100
TIGARD, OR 97223
Phone number: 503-245-2420