Organization
CORRECTIVE STEP FOOT HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EJIRO C ISIORHO DPM (OWNER)
(503) 624-0364
Entity
Organization
Contact information
Practice address
11515 SW DURHAM RD, E1, TIGARD, OR 97224-3476
(503) 624-0364
(503) 684-3306
Mailing address
11515 SW DURHAM RD, E1, TIGARD, OR 97224-3476
(503) 624-0364
(503) 684-3306
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP161832
OR
Other
Enumeration date
11/06/2014
Last updated
01/23/2017
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