Organization · Type 2 NPI
Northwest Extremity Specialists LLC
Podiatric Clinic/Center · Portland, OR
NPI number
1124603055
Active
Practice location
12658 SE Stark St Bldg H
Portland, OR 97233-1058
Fax (503) 221-1582
Mailing address
9115 SW Oleson Rd Ste 205
Tigard, OR 97223-6877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | None listed |
Podiatric Clinic/Center: Definition to come...
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About NPI 1124603055
Northwest Extremity Specialists LLC's National Provider Identifier is 1124603055, issued on Mar 11, 2021. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Portland, OR. The record was last updated on Mar 11, 2021.