# NORTHWEST FOOT & ANKLE ASSOCIATES, P.S.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHWEST FOOT AND ANKLE ASSOCIATES
- **Other names:** Active Foot & Ankle
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093836652
- **Legal business name:** NORTHWEST FOOT AND ANKLE ASSOCIATES
- **Authorized official:** CHERYL ANN MOORE (BILLING MANAGER)
- **Authorized official phone:** (425) 775-1505

## Contact information

- **Practice address:** 1545 NE 65TH ST, SEATTLE, WA 98115-6800
- **Practice address phone:** (206) 528-0100
- **Practice address fax:** (206) 528-2112
- **Mailing address:** 21229 84TH AVE W, EDMONDS, WA 98026-7304
- **Mailing address phone:** (425) 775-1505
- **Mailing address fax:** (425) 775-9078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | WA | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 12/20/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50-C0001166 | STATE CERTIFICATION NUMBER | WA |