institution
Gresham Podiatry Center, Llc
Foot & Ankle Surgery Podiatrist in Gresham, Oregon
NPI 1891742318

Gresham Podiatry Center, Llc is a Foot & Ankle Surgery Podiatrist based in Gresham, OR and is specialized in Foot & Ankle Surgery. Gresham Podiatry Center, Llc practices in Gresham, OR. The NPI Number for Gresham Podiatry Center, Llc is 1891742318 and holds a License No. 307 (Oregon).

The current practice location address for Gresham Podiatry Center, Llc is 831 Nw Council Dr, Gresham, OR and can be reached out via phone at 503-667-6600 and via fax at 503-667-6608.

Location: 831 Nw Council Dr, Gresham, OR, 97030-3721
institution
Provider Profile Details
NPI Number
1891742318
Provider Name
Gresham Podiatry Center, Llc
Credential
Provider Entity Type
Organization
Address
831 Nw Council Dr, Gresham, OR, 97030-3721
Phone Number
503-667-6600
Fax Number
503-667-6608
Provider Enumeration Date
05/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891742318 01 OR GROUP NPI
institution
Provider Business Practice Location Address Details
Address
831 Nw Council Dr
City
State
Zip
97030-3721
Phone Number
503-667-6600
Fax Number
503-667-6608
person
Provider Business Mailing Address Details
Address
831 Nw Council Dr
City
State
Zip
97030-3721
Phone Number
503-667-6600
Fax Number
503-667-6608
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
307 (Oregon)
Definition
Definition to come...
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