# THREE RIVERS FOOT AND ANKLE CLINIC, LLC

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

## Provider details

- **NPI number:** 1114030236
- **Authorized official:** JARED KEITH REMMERS DPM (PRESIDENT)
- **Authorized official phone:** (360) 261-0965

## Contact information

- **Practice address:** 1712 ALLEN ST, KELSO, WA 98626-4907
- **Practice address phone:** (360) 261-0965
- **Mailing address:** 1712 ALLEN ST, KELSO, WA 98626-4907
- **Mailing address phone:** (360) 261-0965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO00000810 | WA | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 08/22/2020