Ejiro C Isiorho DPM

NPI 1255650750 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1255650750
Gender Male
Enumeration Date 05/24/2010
Last Updated 06/30/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
11515 SW DURHAM ROAD
E1
TIGARD OR, 97224, US
Phone (503) 624-0364
Fax (503) 684-3306
Business Location
11515 SW DURHAM ROAD
E1
TIGARD OR, 97224, US
Phone (503) 624-0364
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Ejiro C Isiorho DPM NPI is 1255650750, taxonomy code is 390200000X Ejiro C Isiorho DPM physically located at 11515 Sw Durham Road, Tigard OR, 97224. NPI Number Ejiro C Isiorho DPM has the Individual type.

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1255650750 NPI number is provided on an as is basis without warranty of any kind. 1255650750 is maintained by the National Plan & Provider Enumeration System. The contents of Ejiro C Isiorho DPM are for informational purposes only.