NPI 1083904015

Edward Theodore Ysunza

Practitioner Foot & Ankle Surgery Podiatrist Portland, OR

Practice location

Address: 3710 SW US Veterans Hospital Rd, Portland, OR 97239-2964
Phone: (503) 220-8262
Mailing address: 21540 NW Franson Way # 2201, Hillsboro, OR 97006-6076

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence DP170018 (OR)

Other Podiatrist providers in Oregon →

Registry record

NPI: 1083904015
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2011
Record last updated: 10 Mar 2016

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.