Organization
KEVIN DRISCOLL DPM, LLC
Active
Other names
Oregon Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DRISCOLL DPM (PHYSICIAN)
(503) 255-8100
Entity
Organization
Contact information
Practice address
6108 NE GLISAN ST, PORTLAND, OR 97213-3864
(503) 255-8100
(503) 255-2728
Mailing address
6108 NE GLISAN ST, PORTLAND, OR 97213-3864
(503) 255-8100
(503) 255-2728
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
03/29/2021
Last updated
06/19/2024
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