Organization
CASSANDRA TOMCZAK, DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA WOLFE (MANAGER)
(503) 249-0719
Entity
Organization
Contact information
Practice address
501 N GRAHAM ST STE 250, PORTLAND, OR 97227-1651
(503) 249-0719
(503) 249-0749
Mailing address
501 N GRAHAM ST STE 250, PORTLAND, OR 97227-1651
(503) 249-0719
(503) 249-0749
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP164497
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500661451
—
OR
Enumeration date
06/19/2017
Last updated
07/21/2022
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