Organization · Type 2 NPI
Northwest Extremity Specialists LLC
Podiatric Clinic/Center · Tigard, OR
NPI number
1750966792
Active
Practice location
18040 SW Lower Boones Ferry Rd Ste 207
Tigard, OR 97224-7259
Fax (503) 245-2445
Mailing address
9115 SW Oleson Rd Ste 205
Portland, OR 97223-6877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | None listed |
Podiatric Clinic/Center: Definition to come...
About NPI 1750966792
Northwest Extremity Specialists LLC's National Provider Identifier is 1750966792, issued on Mar 11, 2021. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Tigard, OR. The record was last updated on Mar 11, 2021.