Organization
RIVERSHORE FOOT & ANKLE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY T RAY DPM (PRESIDENT)
(503) 325-5655
Entity
Organization
Contact information
Practice address
2120 EXCHANGE ST STE 110, ASTORIA, OR 97103-3322
(503) 325-5655
Mailing address
2120 EXCHANGE ST STE 110, ASTORIA, OR 97103-3322
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
OR
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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