| NPI | 1679979397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EJIRO C ISIORHO Owner 503-624-0364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP161832) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2017-01-23 |