NPI | 1518945922 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA EILEEN CAIN President 503-655-0775 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: OR DP00269) |
Enumeration Date | 2006-01-05 |
Last Update Date | 2020-08-22 |