Western U Medical Group, LLC

NPI #1356158000 in Portland, Oregon

Provider Information

NPI Number: 1356158000
Entity Type: Organization
Organization Name: Western U Medical Group, LLC
Primary Specialty: Podiatrist
Enumeration Date: Dec 16, 2024
Last Updated: Dec 16, 2024

Practice Location

Address: 5909 SE 92ND AVE
City: Portland
State: Oregon
ZIP Code: 97266-4642
Phone: (503) 771-0055

Authorized Official

Name: ROBIN L RICHARDSON, DO
Title: MEDICAL DIRECTOR
Phone: (503) 771-0055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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