# COLUMBIA FOOT HEALTH CLINIC PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073797551
- **Authorized official:** DR. DARIAN JERALD VANGORKUM DPM (PRESIDENT)
- **Authorized official phone:** (509) 946-7602

## Contact information

- **Practice address:** 925 STEVENS DR STE 2D, RICHLAND, WA 99352-3523
- **Practice address phone:** (509) 946-7602
- **Practice address fax:** (509) 943-9389
- **Mailing address:** 925 STEVENS DR STE 2D, RICHLAND, WA 99352-3523
- **Mailing address phone:** (509) 946-7602
- **Mailing address fax:** (509) 943-9389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO00000620 | WA | Yes |

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 07/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7090251 | — | WA |