Organization
BARTS SHOE CORP
Active
Organization
BARTS SHOE CORP
Active
Other names
Jays Wide Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN BARTHOLD C-PED (OWNER)
(503) 641-5199
Entity
Organization
Contact information
Practice address
8974 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-7779
(503) 654-2888
(503) 654-2888
Mailing address
8974 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-7779
(503) 654-2888
(503) 654-2888
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
05/06/2008
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