Organization · Type 2 NPI
Evergreen Foot & Ankle Specialists PLLC
Foot & Ankle Surgery Podiatrist · Vancouver, WA
NPI number
1386956704
Active
Practice location
2415 SE 165th Ave Ste 104
Vancouver, WA 98683-4324
Fax (360) 882-3566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO00000682 (WA) |
| Customized Equipment (DME) | 332BC3200X | PO000000682 (WA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1386956704
Evergreen Foot & Ankle Specialists PLLC's National Provider Identifier is 1386956704, issued on Jul 14, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Vancouver, WA. The record was last updated on Sep 14, 2010.