Organization
PEARL FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JAMES MINEO DPM (OWNER)
(503) 477-0409
Entity
Organization
Contact information
Practice address
12672 NW BARNES RD STE 100, PORTLAND, OR 97229-6191
(503) 284-2000
Mailing address
3601 NW 115TH AVE, PORTLAND, OR 97229-9321
(503) 477-0409
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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