CLACKAMAS FOOT & ANKLE CLINIC, INC.; NPI #1023185055

Contact Information

CLACKAMAS FOOT & ANKLE CLINIC, INC.

8800 SE SUNNYSIDE RD
SUITE 105N
CLACKAMAS, OR 97015-5738

Phone: 503-652-9671
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot	213ES0131X	48	Podiatry
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Podiatrist	213E00000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for CLACKAMAS FOOT & ANKLE CLINIC, INC.

NPI # 1023185055

LBN Legal business name CLACKAMAS FOOT & ANKLE CLINIC, INC.

Authorized official THUY-TRANG LAM - (PRESIDENT, DPM)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/28/2006

Last updated 01/15/2009 - About 17 years ago

Identifiers

OR	License #	DP00267
OR	Other	DE4383	MEDICARE RAILROAD - GBA
OR	Other	480019925	MEDICARE RAILROAD GBA

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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CLACKAMAS FOOT & ANKLE CLINIC, INC.

Contact Information

Specialty

Surgery, Foot

Durable Medical Equipment & Medical Supplies

Podiatrist

NPI Profile & details for CLACKAMAS FOOT & ANKLE CLINIC, INC.

Reviews for CLACKAMAS FOOT & ANKLE CLINIC, INC.