Alderwood Ankle & Foot Clinic P.S.
Clinic/Center, Podiatric in Lynnwood, WA. Organization (NPI-2).
NPI number1609065713
StatusActive
Last updated in NPPESJun 15, 2012
Details
- NPI
- 1609065713
- Entity type
- Organization (NPI-2)
- Legal business name
- Alderwood Ankle & Foot Clinic P.S.
- Organization subpart
- No
- Enumeration date
- Oct 15, 2007
- Last updated
- Jun 15, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP1100X | Clinic/Center, Podiatric | PO00000346 | WA | Yes |
Other names
- Lake Stevens Ankle & Foot Clinic (Doing Business As)
Practice location
3500 188th St Sw Ste 110Lynnwood, WA 98037-4757
Phone 425-778-5666 · Fax 425-771-5374
Mailing address
3500 188th St Sw Ste 110Lynnwood, WA 98037-4757
Phone 425-778-5666 · Fax 425-771-5374
Authorized official
Don B Floyd
President
4257785666
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