| NPI | 1467631069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUY-TRANG LAM President 503-652-9671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2008-05-08 |