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Organization
DEAN MCNABB DPM LLC
Active
Organization
DEAN MCNABB DPM LLC
Active
Other names
PACIFIC NW FOOT AND ANKLE
Organization subpart
No
Provider details
NPI number
Authorized official
EARL DEAN MCNABB DPM (OWNER)
(503) 390-0959
Entity
Organization
Contact information
Practice address
851 NE BAKER ST, SUITE 4, MCMINNVILLE, OR 97128-4991
(503) 434-5222
(877) 878-1984
Mailing address
PO BOX 20367, KEIZER, OR 97307-0367
(503) 390-0959
(877) 878-1984
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00344
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118186
MEDICARE MAC
OR
05
—
182958
—
OR
Enumeration date
02/07/2008
Last updated
06/14/2013
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