Edward Theodore Ysunza IV
Foot & Ankle Surgery
3710 Sw Us Veterans Hospital Rd
Portland
, Oregon 97239-2964
Edward Theodore Ysunza IV
Foot & Ankle Surgery
3710 Sw Us Veterans Hospital Rd
Portland
, Oregon 97239-2964
(503) 858-4641
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Edward Theodore Ysunza IV
- 21540 Nw Franson Way # 2201
- Hillsboro, OR
- Zip : 97006-6076
- Phone : (503) 858-4641
Second Address
- Edward Theodore Ysunza IV
- 3710 Sw Us Veterans Hospital Rd
- Portland, OR
- Zip : 97239-2964
- Phone : (503) 220-8262
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | DP170018 | OR |
National Provider Identifier
| NPI | 1083904015 |
|---|---|
| Provider Name | Edward Theodore Ysunza IV |
| First Address | Hillsboro, OR 97006-6076 |
| Second Address | Portland, OR 97239-2964 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2011 |
| Last Update Date | 10/03/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.