Oregon Coast Podiatry, LLC

NPI #1558545632 in North Bend, Oregon

Provider Information

NPI Number: 1558545632
Entity Type: Organization
Organization Name: Oregon Coast Podiatry, LLC
Primary Specialty: Podiatrist
Enumeration Date: Dec 24, 2007
Last Updated: Feb 22, 2011

Practice Location

Address: 3229 BROADWAY ST
Address 2: SUITE D
City: North Bend
State: Oregon
ZIP Code: 97459-2203
Phone: (541) 756-1190

Authorized Official

Name: SHERRY L WILLIAMS, DPM
Title: OFFICER
Phone: (541) 756-1190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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