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Organization
WILLAMETTE FOOT CENTER INC
Active
Organization
WILLAMETTE FOOT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C STEVENS DPM (PODIATRIST)
(503) 363-0763
Entity
Organization
Contact information
Practice address
4305 RIVER RD N, KEIZER, OR 97303-5506
(503) 363-0763
(503) 363-8154
Mailing address
4305 RIVER RD N, KEIZER, OR 97303-5506
(503) 363-0763
(503) 363-8154
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295456
—
OR
Enumeration date
07/15/2020
Last updated
07/28/2020
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