Pearl Foot and Ankle LLC

NPI #1346008711 in Portland, Oregon

Provider Information

NPI Number: 1346008711
Entity Type: Organization
Organization Name: Pearl Foot and Ankle LLC
Primary Specialty: Podiatrist
Enumeration Date: Mar 11, 2024
Last Updated: Mar 11, 2024

Practice Location

Address: 12672 NW BARNES RD STE 100
City: Portland
State: Oregon
ZIP Code: 97229-6191
Phone: (503) 284-2000

Authorized Official

Name: TIMOTHY JAMES MINEO, DPM
Title: OWNER
Phone: (503) 477-0409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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