Organization · Type 2 NPI
Clackamas Foot & Ankle Clinic
Foot & Ankle Surgery Podiatrist · Clackamas, OR
NPI number
1467631069
Active
Practice location
8800 SE Sunnyside Rd Ste 105N
Clackamas, OR 97015-5704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1467631069
Clackamas Foot & Ankle Clinic's National Provider Identifier is 1467631069, issued on Oct 31, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Clackamas, OR. The record was last updated on May 8, 2008.