| NPI | 1851557607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY J YOON Podiatrist 503-777-3999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: OR DP00338) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |