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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