Individual
EJIRO C ISIORHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11515 SW DURHAM ROAD, E1, TIGARD, OR 97224
(503) 624-0364
(503) 684-3306
Mailing address
11515 SW DURHAM ROAD, E1, TIGARD, OR 97224
(503) 624-0364
(503) 684-3306
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP161832
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2010
Last updated
06/30/2015
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