Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1467631069 |
| LBN Legal business name | CLACKAMAS FOOT & ANKLE CLINIC |
| Authorized official | THUY-TRANG LAM - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/31/2007 |
| Last updated | 05/08/2008 - About 18 years ago |
| Identifiers | n/a |
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