Organization
HERMISTON FAMILY FOOT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J CARLSON DPM (OWNER)
(541) 567-8750
Entity
Organization
Contact information
Practice address
1050 W ELM AVE STE 170, HERMISTON, OR 97838-2715
(541) 567-8750
(541) 564-0498
Mailing address
1050 W ELM AVE STE 170, HERMISTON, OR 97838-2715
(541) 567-8750
(541) 564-0498
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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