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Contact Information

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

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KEVIN DRISCOLL DPM, LLC

NPI # 1326625856
LBN Legal business name KEVIN DRISCOLL DPM, LLC
Authorized official KEVIN DRISCOLL - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2021
Last updated 06/19/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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