Whalio Doctors

NPI 1255650750

Ejiro C Isiorho, DPM

Practitioner Foot & Ankle Surgery Podiatrist Tigard, OR

Practice location

Address
11515 SW Durham Road E1, Tigard, OR 97224
Phone
(503) 624-0364
Fax
(503) 684-3306

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence DP161832 (OR)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1255650750
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 May 2010
Record last updated
30 Jun 2015

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.