Organization
PEDORTHIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT WILLIAM CATANIA C-PED (OWNER)
(503) 992-6366
Entity
Organization
Contact information
Practice address
10240 SW NIMBUS AVE, SUITE L5, PORTLAND, OR 97223
(503) 992-6366
(503) 524-8397
Mailing address
10240 SW NIMBUS AVE, SUITE L5, PORTLAND, OR 97223
(503) 992-6366
(503) 524-8397
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
NO LICENCSE REQUIRED
OR
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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