NPI 1720351323

Pedorthic Services, INC.

Organisation Pedorthist Portland, OR

Practice location

Address: 10240 SW Nimbus Ave Suite L5, Portland, OR 97223
Phone: (503) 992-6366
Fax: (503) 524-8397

Authorised official

Name: Vincent William Catania
Title: Owner
Phone: (503) 992-6366

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence NO LICENCSE REQUIRED (OR)

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Registry record

NPI: 1720351323
Entity type: Organization
NPI issued: 14 Feb 2012
Record last updated: 14 Feb 2012

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.