Gresham Podiatry Center, LLC

NPI #1891742318 in Gresham, Oregon

Provider Information

NPI Number
1891742318
Entity Type
Organization
Organization Name
Gresham Podiatry Center, LLC
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
May 28, 2006
Last Updated
Apr 2, 2008

Practice Location

Address
831 NW COUNCIL DR
Address 2
SUITE #203
State
Oregon
ZIP Code
97030-3721
Phone
(503) 667-6600

Authorized Official

Name
DR. DEREK JOHN MCCAMMON, D.P.M.
Title
OWNER
Phone
(503) 667-6600

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle SurgeryFoot & Ankle Surgery

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