| NPI | 1972740108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN T NAKADATE Owner/Physician 541-383-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OR DP00442) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP00442) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |