person
John Egdorf, DPM
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1013640648

John Egdorf is a Student in an Organized Health Care Education/Training Program based in Des Moines, OR. John Egdorf practices in Portland, OR and has the professional credentials of DPM. The NPI Number for John Egdorf is 1013640648 and holds a License No. PG216238 (Oregon).

The current practice location address for John Egdorf is 1015 Nw 22Nd Ave, Portland, OR and can be reached out via phone at 503-413-8401 and via fax at 503-413-7361.

Location: 1015 Nw 22Nd Ave, Portland, OR, 50312-4104
person
Provider Profile Details
NPI Number
1013640648
Provider Name
John Egdorf
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1015 Nw 22Nd Ave, Portland, OR, 50312-4104
Phone Number
503-413-8401
Fax Number
503-413-7361
Provider Enumeration Date
07/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1015 Nw 22Nd Ave
City
State
Zip
97210-3025
Phone Number
503-413-8401
Fax Number
503-413-7361
person
Provider Business Mailing Address Details
Address
1015 Nw 22Nd Ave
City
State
Zip
97210-3025
Phone Number
503-413-8401
Fax Number
503-413-7361
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
PG216238 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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