| NPI | 1922032960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER AILEEN HOLDERMANN Owner 541-779-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OR DP00350) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OR DP00351) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-07-22 |