Individual
CASSANDRA BREE TOMCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
19250 SW 65TH AVE STE 200, TUALATIN, OR 97062
(503) 413-2005
(503) 413-3699
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
DP164497
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP164497
OR
Other
Enumeration date
04/27/2010
Last updated
12/03/2019
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