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Organization
NW FOOT CLINIC PC
Active
Organization
NW FOOT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S. CHUNG DPM (OWNER)
(503) 591-7449
Entity
Organization
Contact information
Practice address
3895 SW 185TH AVE, #140, ALOHA, OR 97078-1573
(503) 591-7449
(503) 591-5826
Mailing address
4055 SW 185TH AVE, #100, ALOHA, OR 97078-1567
(503) 591-7449
(503) 591-5826
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00157
OR
Other
Enumeration date
12/05/2007
Last updated
12/04/2014
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