Northwest Extremity Specialists LLC

NPI #1629774179 in Tigard, Oregon

Provider Information

NPI Number
1629774179
Entity Type
Organization
Organization Name
Northwest Extremity Specialists LLC
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHWEST EXTREMITY SPECIALISTS LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Feb 6, 2023
Last Updated
Aug 30, 2023

Practice Location

Address
9445 SW LOCUST ST
City
Tigard
State
Oregon
ZIP Code
97223-6634
Phone
(503) 245-2420

Authorized Official

Name
SHEADAWN FOGERSON
Title
AREA OPERATIONS DIRECTOR
Phone
(503) 352-1313

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Clinic/Center - Medical SpecialtyMedical Specialty

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