Edward Theodore Ysunza IV

NPI #1083904015 in Portland, Oregon

Provider Information

NPI Number
1083904015
Entity Type
Individual
Name
Edward Theodore Ysunza IV
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Apr 11, 2011
Last Updated
Mar 10, 2016

Practice Location

Address
3710 SW US VETERANS HOSPITAL RD
State
Oregon
ZIP Code
97239-2964
Phone
(503) 220-8262

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle SurgeryFoot & Ankle Surgery

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