| NPI | 1679743876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI SUE MYERS Dr./Owner 503-235-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP00355) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-12-30 |