IndividualActive
Michael Short, B.S., C-PED
NPI 1235670126 · Pedorthist · Clackamas, OR
Provider details
- NPI number
- 1235670126
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- B.S., C-PED
- Sex
- Male
- Sole proprietor
- No
- License
- CPED4280 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
10117 Se Sunnyside Rd.
Ste. H
Clackamas, OR 97015
Phone: (503) 305-7254
Approximate (ZIP-level) locationGet directions
Mailing address
10117 Se Sunnyside Rd.
Clackamas, OR 97015
Registry dates
- Enumerated
- 2017-03-13
- Last updated
- 2017-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.