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Organization
NORTHWEST FOOT & ANKLE CENTER, PS
Active
Organization
NORTHWEST FOOT & ANKLE CENTER, PS
Active
Other names
NORTHWEST FOOT AND ANKLE CENTER, PS
Organization subpart
No
Provider details
NPI number
Authorized official
PETRINA CELESTE LEWIS DPM (OWNER)
(425) 277-3668
Entity
Organization
Contact information
Practice address
4300 TALBOT RD S, SUITE 102, RENTON, WA 98055-6238
(425) 277-3668
(425) 277-0732
Mailing address
4300 TALBOT RD S, SUITE 102, RENTON, WA 98055-6238
(425) 277-3668
(425) 277-0732
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
602113454
WA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1060272
—
WA
01
—
156353
DEPT OF L&I
WA
Enumeration date
07/13/2006
Last updated
03/27/2023
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