Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edward Theodore Ysunza IV

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1083904015

Edward Theodore Ysunza IV is a Foot & Ankle Surgery Podiatrist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011
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Practice location Address checks out

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Phone: (503) 220-8262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DP170018 (OR)

Record details

NPI number1083904015
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2011
Last updated in NPPESMarch 10, 2016

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