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Organization
KEVIN DRISCOLL DPM, LLC
Active
Organization
KEVIN DRISCOLL DPM, LLC
Active
Other names
Oregon Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DRISCOLL DPM (PHYSICIAN)
(503) 255-8100
Entity
Organization
Contact information
Practice address
6108 NE GLISAN ST, PORTLAND, OR 97213-3864
(503) 255-8100
(503) 255-2728
Mailing address
6108 NE GLISAN ST, PORTLAND, OR 97213-3864
(503) 255-8100
(503) 255-2728
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
03/29/2021
Last updated
06/19/2024
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