Individual provider · Type 1 NPI
Michael G. Short, B.S., C-PED
Pedorthist · Clackamas, OR
NPI number
1235670126
Active
Practice location
10117 SE Sunnyside Rd., Ste. H
Clackamas, OR 97015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pedorthist Primary | 224L00000X | CPED4280 (OR) |
Pedorthist: 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.
About NPI 1235670126
Michael G. Short, B.S., C-PED's National Provider Identifier is 1235670126, issued on Mar 13, 2017. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Clackamas, OR. The record was last updated on Mar 13, 2017.