| NPI | 1912103367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN G ORAHOOD Owner 503-292-9252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR D9000164) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2016-07-06 |