| NPI | 1952087678 |
|---|---|
| Doing Business As | NORTHWEST EXTREMITY SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | MERIDIAN PARK Area Operations Director 503-577-2964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |