NPI 1427164516

Westside Podiatry Clinic LLC

Organisation Podiatrist Tigard, OR

Practice location

Address: 9900 SW Hall Blvd Suit 100, Tigard, OR 97223
Phone: (503) 245-2420
Fax: (503) 245-2445

Authorised official

Name: Jason R Surratt
Title: Owner
Phone: (503) 245-2420

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Oregon →

Registry record

NPI: 1427164516
Entity type: Organization
NPI issued: 22 Aug 2006
Record last updated: 21 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.