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Contact Information

CLACKAMAS FOOT & ANKLE CLINIC
8800 SE SUNNYSIDE RD STE 105N
CLACKAMAS, OR97015-5704
 Phone: 503-652-9671
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for CLACKAMAS FOOT ANKLE CLINIC · (Female)

NPI Number 1467631069
Status Active
Credentials
Entity Individual
Enumeration date 10/31/2007
Last updated 05/08/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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