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Contact Information

ADVANCED FOOT CLINIC, PC
6464 SW BORLAND RD STE B3
TUALATIN, OR97062-8855
 Phone: 503-612-4040
 Fax: 503-625-8638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED FOOT CLINIC, PC

NPI Number 1063518132
LBN Legal business name ADVANCED FOOT CLINIC, PC
Authorized official AZADEH ARABSHAHI - (ADMINISTRATOR/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2006
Last updated 03/09/2023 - About 3 years ago
Identifiers
OR License # DP00296
OR Medicaid 158911
OR Other R116947 MEDICARE
OR Other 5738490002 MEDICARE DME
OR Other 480034478 PALMETTO GBA
OR Other 480034478 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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