Clackamas Foot & Ankle Clinic
Podiatrist, Foot & Ankle Surgery in Clackamas, OR. Organization (NPI-2).
NPI number1467631069
StatusActive
Last updated in NPPESMay 8, 2008
Details
- NPI
- 1467631069
- Entity type
- Organization (NPI-2)
- Legal business name
- Clackamas Foot & Ankle Clinic
- Organization subpart
- No
- Enumeration date
- Oct 31, 2007
- Last updated
- May 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
8800 Se Sunnyside Rd Ste 105nClackamas, OR 97015-5704
Phone 503-652-9671
Mailing address
8800 Se Sunnyside Rd Ste 105nClackamas, OR 97015-5704
Phone 503-652-9671
Authorized official
Thuy-Trang Lam
President
5036529671
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