Organization
WOUND PROS OREGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER AYODELE OTIKO DPM (PRESIDENT)
(818) 836-2475
Entity
Organization
Contact information
Practice address
10260 SW GREENBURG ROAD 4TH FLOOR, PORTLAND, OR 97223-5500
(310) 496-5844
(323) 433-9177
Mailing address
4640 ADMIRALTY WAY STE 500, MARINA DEL REY, CA 90292-6636
(818) 836-2475
(323) 433-9177
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/12/2020
Last updated
05/24/2022
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