Individual
THEODORE ALLEN FOSTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.P.H
Contact information
Practice address
1003 PROVIDENCE DR STE 325, NEWBERG, OR 97132-7521
(503) 537-6026
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
DO163119
OR
Other
Enumeration date
03/28/2010
Last updated
10/06/2020
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