| NPI | 1891742318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK JOHN MCCAMMON Owner 503-667-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR 307) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-04-02 |