Longview Foot & Ankle Clinic in Portland - Podiatrist

Longview Foot & Ankle Clinic - NPI 1316032451

Longview Foot & Ankle Clinic is a Podiatrist in Portland, Oregon. Longview Foot & Ankle Clinic practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Longview Foot & Ankle Clinic is 1316032451. The last update date is 2008-03-26.

Longview Foot & Ankle Clinic's current location address is 725 Nw 19th Ave, Portland, Oregon. You can contact this provider via phone number 5032432699 and fax number 5032432698. The mailing address for Longview Foot & Ankle Clinic is 725 Nw 19th Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Longview Foot & Ankle Clinic
Address 725 Nw 19th Ave, Portland, Oregon
Phone Number 5032432699
Fax Number 5032432698
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Mcclanahan A Ray
Credentials DPM
Telephone Number 3605759161

NPI Number Detail

NPI Number 1316032451
Provider Enumeration Date 2006-10-04
Last Updated Date 2008-03-26

Provider Mailing Address Detail

Address 725 Nw 19th Ave
City Portland
State Oregon (OR)
Post Code 972091301
Phone Number 5032432699
Fax Number 5032432698

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No DP00317
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
129510 WA L&I
MC5942 WA REGENCE RIDER
1101682 WA --
8397218 WA DMERC DSHS

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FAQs about Longview Foot & Ankle Clinic

What is the unique 10-digit identifier code issued to Longview Foot & Ankle Clinic by the Centers for Medicare & Medicaid Services?

The Longview Foot & Ankle Clinic has been assigned the NPI (National Provider Identifier) 1316032451 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Longview Foot & Ankle Clinic's physical address?

The Longview Foot & Ankle Clinic is physically located at 725 Nw 19Th Ave, in the city of Portland, OR, with the postal code 972091301.

What is Longview Foot & Ankle Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Longview Foot & Ankle Clinic is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.

On what date did the Longview Foot & Ankle Clinic receive the assignment of its 1316032451 from the Centers for Medicare & Medicaid Services?

The Longview Foot & Ankle Clinic was issued its 1316032451 by the Centers for Medicare & Medicaid Services on 2006-10-04.

When was the information regarding Longview Foot & Ankle Clinic most recently updated?

The details pertaining to the Longview Foot & Ankle Clinic, including its address, specialty, and other relevant information, were last refreshed on 2008-03-26.

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