Oregon Coast Podiatry, Llc in North Bend - Podiatrist
Oregon Coast Podiatry, Llc - NPI 1558545632
Oregon Coast Podiatry, Llc is a Podiatrist in North Bend, Oregon. Oregon Coast Podiatry, Llc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Oregon Coast Podiatry, Llc is 1558545632. The last update date is 2011-02-22.
Oregon Coast Podiatry, Llc's current location address is 3229 Broadway St, North Bend, Oregon. You can contact this provider via phone number 5417561190 and fax number 5417561199. The mailing address for Oregon Coast Podiatry, Llc is 3229 Broadway St, North Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oregon Coast Podiatry, Llc |
|---|---|
| Address | 3229 Broadway St, North Bend, Oregon |
| Phone Number | 5417561190 |
| Fax Number | 5417561199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER |
|---|---|
| Authorized Official Name | Williams L Sherry |
| Credentials | DPM |
| Telephone Number | 5417561190 |
NPI Number Detail
| NPI Number | 1558545632 |
|---|---|
| Provider Enumeration Date | 2007-12-24 |
| Last Updated Date | 2011-02-22 |
Provider Mailing Address Detail
| Address | 3229 Broadway St |
|---|---|
| City | North Bend |
| State | Oregon (OR) |
| Post Code | 974592203 |
| Phone Number | 5417561190 |
| Fax Number | 5417561199 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | DP00365 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DE3960 | OR | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Oregon Coast Podiatry, Llc?
The Oregon Coast Podiatry, Llc has been issued the NPI (National Provider Identifier) 1558545632 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Oregon Coast Podiatry, Llc's physical address?
The Oregon Coast Podiatry, Llc is physically located at 3229 Broadway St, in the city of North Bend, OR, with the postal code 974592203.
What is Oregon Coast Podiatry, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Oregon Coast Podiatry, Llc is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Oregon Coast Podiatry, Llc receive its 1558545632 assignment from the Centers for Medicare & Medicaid Services?
The Oregon Coast Podiatry, Llc was assigned its 1558545632 by the Centers for Medicare & Medicaid Services on 2007-12-24.
As of what date were the Oregon Coast Podiatry, Llc's details last updated?
The information pertaining to the Oregon Coast Podiatry, Llc, including its address, specialty, and other details, was most recently updated on 2011-02-22.