| NPI | 1669884003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BOWEN Podiatrist/Owner 503-284-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR dp00435) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2021-12-13 |