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
Authorized Official
- Name
- SHEADAWN FOGERSON
- Title
- AREA OPERATIONS DIRECTOR
- Phone
- (503) 352-1313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Clinic/Center - Medical Specialty — Medical Specialty |
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