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Organization
OREGON INSTITUTE OF FOOT CARE LLC
Active
Organization
OREGON INSTITUTE OF FOOT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER MANSON DPM (PODIATRIC PHYSICIAN)
(503) 635-7742
Entity
Organization
Contact information
Practice address
55 S STATE ST STE 3220, LAKE OSWEGO, OR 97034-3975
(503) 635-7742
Mailing address
55 S STATE ST STE 3220, LAKE OSWEGO, OR 97034-3975
(503) 635-7742
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
11/02/2021
Last updated
03/24/2022
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