NPI 1649386541

Jason Ray Surratt, DPM

Practitioner Podiatrist Tigard, OR

Practice location

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

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence DP00330 (OR)

Other Podiatrist providers in Oregon →

Registry record

NPI: 1649386541
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2006
Record last updated: 27 Sep 2011

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.