| NPI | 1437204930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK THEODORE CODE CEO 541-773-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OR DP002200) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2010-02-09 |