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Contact Information

KEVIN D DRISCOLL, DPM
6108 NE GLISAN ST
PORTLAND, OR97213-3864
 Phone: 503-255-8100
 Fax: 503-255-2728
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Surgery, Foot

213ES0131X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KEVIN D DRISCOLL · (Male)

NPI Number 1699272724
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/05/2018
Last updated 09/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # DP202065
  • PA License # 000000
  • PA License # SC006916
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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