Oregon Institute of Foot Care LLC

NPI #1124783345 in Lake Oswego, Oregon

Provider Information

NPI Number: 1124783345
Entity Type: Organization
Organization Name: Oregon Institute of Foot Care LLC
Primary Specialty: Podiatrist
Enumeration Date: Nov 2, 2021
Last Updated: Mar 24, 2022

Practice Location

Address: 55 S STATE ST STE 3220
City: Lake Oswego
State: Oregon
ZIP Code: 97034-3975
Phone: (503) 635-7742

Authorized Official

Name: DR. TYLER MANSON, DPM
Title: PODIATRIC PHYSICIAN
Phone: (503) 635-7742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X
Podiatrist - Radiology — Radiology	213ER0200X
Podiatrist - Sports Medicine — Sports Medicine	213ES0000X
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X
Podiatrist	213E00000X	Primary

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