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JUSTIN TIDWELL, DPM
DPM
Foot & Ankle Surgery Podiatrist
NPI: 1710908892IndividualAccepts Medicare
Specialties, Licenses & Credentials
Foot & Ankle Surgery PodiatristPrimary
Podiatrist — Foot & Ankle Surgery
Code: 213ES0103X
PO00000806(WA)DP00373(OR)
CMS Specialties
PrimaryPODIATRY
Education
OTHER
Class of 2003
Contact & Hours
- Address
- 501 N GRAHAM ST, SUITE 415
PORTLAND, OR 97227 - Phone
- (503) 413-2005
Quick Facts
- NPI
- 1710908892
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 23
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