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Contact Information

EJIRO C ISIORHO, DPM
11515 SW DURHAM ROAD
E1
TIGARD, OR97224
 Phone: 503-624-0364
 Fax: 503-684-3306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for EJIRO C ISIORHO · (Male)

NPI Number 1255650750
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/24/2010
Last updated 06/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OR License # DP161832
Hospital affiliation(s)
  • LEGACY MERIDIAN PARK MEDICAL CENTER - (Acute Care)
    19300 SW 65TH AVENUE
    TUALATIN, OR 97062
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
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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