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CORRECTIVE STEP FOOT HEALTH CENTER NPI 1679979397


NPI Information

NPI: 1679979397
Provider Name: CORRECTIVE STEP FOOT HEALTH CENTER
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
11515 SW DURHAM RD
E1
TIGARD, OR
ZIP 97224
Phone: (503) 624-0364
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CORRECTIVE STEP FOOT HEALTH CENTER is a foot and ankle surgery podiatrist in Tigard, OR. CORRECTIVE STEP FOOT HEALTH CENTER NPI is 1679979397. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11515 SW DURHAM RD
E1
TIGARD, OR
ZIP 97224-476
Phone: (503) 624-0364
Fax: (503) 684-3306

The provider's authorized official is Ejiro C Isiorho .
The authorized official title is Owner and has the following contact phone number (503) 624-0364.

The enumeration date for this NPI number is 11/6/2014 and was last updated on 1/23/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryDP161832OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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