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Individual

JASON RAY SURRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
9900 SW HALL BLVD, SUITE 100, TIGARD, OR 97223
(503) 245-2420
(503) 245-2445
Mailing address
9900 SW HALL BLVD, SUITE 100, TIGARD, OR 97223
(503) 245-2420
(503) 245-2445

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00330
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
228891
OR
Enumeration date
08/22/2006
Last updated
09/27/2011
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