Organization
PORTLAND FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN HAYES DPM (OWNER)
(503) 244-7894
Entity
Organization
Contact information
Practice address
9370 SW GREENBURG RD STE A, PORTLAND, OR 97223-5408
(503) 244-7894
Mailing address
9370 SW GREENBURG RD STE A, PORTLAND, OR 97223-5408
(503) 244-7894
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00332
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228814
—
OR
Enumeration date
07/01/2010
Last updated
07/01/2010
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