Individual provider · Type 1 NPI

Edward Theodore Ysunza Iv

Foot & Ankle Surgery Podiatrist · Portland, OR

NPI number 1083904015 Active

Practice location

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964

Call (503) 220-8262 Map

Mailing address

21540 NW Franson Way # 2201
Hillsboro, OR 97006-6076

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XDP170018 (OR)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1083904015

Edward Theodore Ysunza Iv's National Provider Identifier is 1083904015, issued on Apr 11, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Portland, OR. The record was last updated on Mar 10, 2016.