Advanced Foot Clinic, Pc in Sherwood - Podiatrist
Advanced Foot Clinic, Pc - NPI 1063518132
Advanced Foot Clinic, Pc is a Podiatrist in Sherwood, Oregon. Advanced Foot Clinic, Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Advanced Foot Clinic, Pc is 1063518132. The last update date is 2023-03-09.
Advanced Foot Clinic, Pc's current location address is Po Box 1550, Sherwood, Oregon. You can contact this provider via phone number 5036124040 and fax number 5036258638. The mailing address for Advanced Foot Clinic, Pc is Po Box 1550, Sherwood, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Foot Clinic, Pc |
|---|---|
| Address | Po Box 1550, Sherwood, Oregon |
| Phone Number | 5036124040 |
| Fax Number | 5036258638 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Arabshahi Azadeh |
| Telephone Number | 5033910688 |
NPI Number Detail
| NPI Number | 1063518132 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2023-03-09 |
Provider Mailing Address Detail
| Address | Po Box 1550 |
|---|---|
| City | Sherwood |
| State | Oregon (OR) |
| Post Code | 971401550 |
| Phone Number | 5036124040 |
| Fax Number | 5036258638 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | DP00296 |
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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 |
|---|---|---|---|
| R116947 | OR | MEDICARE | |
| 5738490002 | OR | MEDICARE DME | |
| 480034478 | OR | RAILROAD MEDICARE | |
| 158911 | OR | -- | |
| 480034478 | OR | PALMETTO GBA |
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What is the unique identification code assigned to Advanced Foot Clinic, Pc by the Centers for Medicare & Medicaid Services?
The Advanced Foot Clinic, Pc has been issued the NPI (National Provider Identifier) 1063518132. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Advanced Foot Clinic, Pc located?
The Advanced Foot Clinic, Pc is located at Po Box 1550, Sherwood, OR 971401550.
What is Advanced Foot Clinic, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Advanced Foot Clinic, Pc is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
When was the Advanced Foot Clinic, Pc's 1063518132 issued?
The Advanced Foot Clinic, Pc's 1063518132 was issued on 2006-09-16.
When was the information pertaining to Advanced Foot Clinic, Pc most recently updated or revised?
The details related to Advanced Foot Clinic, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-09.