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Mr. Michael G Short, BS,C-PED
Pedorthist in Clackamas, Oregon
NPI 1235670126

Michael G Short is a Pedorthist based in Clackamas, OR. Michael G Short practices in Clackamas, OR and has the professional credentials of BS,C-PED. The NPI Number for Michael G Short is 1235670126 and holds a License No. CPED4280 (Oregon).

The current practice location address for Michael G Short is 10117 Se Sunnyside Rd., Clackamas, OR and can be reached out via phone at 503-305-7254.

Location: 10117 Se Sunnyside Rd., Clackamas, OR, 97015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235670126
Provider Name
Michael G Short
Credential
BS,C-PED
Provider Entity Type
Individual
Gender
Male
Address
10117 Se Sunnyside Rd., Clackamas, OR, 97015
Phone Number
503-305-7254
Fax Number
Provider Enumeration Date
03/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10117 Se Sunnyside Rd.
City
Clackamas
State
Oregon
Zip
97015
Phone Number
503-305-7254
Fax Number
person
Provider Business Mailing Address Details
Address
10117 Se Sunnyside Rd.
City
Clackamas
State
Oregon
Zip
97015
Phone Number
503-305-7254
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
CPED4280 (Oregon)
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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