EASTSIDE FOOT AND ANKLE
Organization (NPI-2)
Active
Podiatrist, Foot & Ankle Surgery
Provider Information
- NPI Number
1669884003- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1827 NE 44TH AVE STE 100, PORTLAND, OR, 972131443
- Phone
- (503) 284-2000
- Fax
- (503) 284-2002
Specialties & Taxonomies
Podiatrist, Foot & Ankle Surgery
Primary License: OR #dp00435