Organization · Type 2 NPI

Kevin Driscoll Dpm, LLC

Foot & Ankle Surgery Podiatrist · Portland, OR

NPI number 1326625856 Active

Practice location

6108 NE Glisan St
Portland, OR 97213-3864

Fax (503) 255-2728

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000XNone listed
Primary Podiatric Medicine Podiatrist 213EP1101XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant 363AS0400XNone listed

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

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About NPI 1326625856

Kevin Driscoll Dpm, LLC's National Provider Identifier is 1326625856, issued on Mar 29, 2021. 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 Jun 19, 2024.