# ACTIVE FOOT AND ANKLE CENTER

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

## Provider details

- **NPI number:** 1487808960
- **Authorized official:** DR. HOWARD ROTH D.P.M. (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (425) 868-8287

## Contact information

- **Practice address:** 1545 NE 65TH ST, SEATTLE, WA 98115-6800
- **Practice address phone:** (425) 868-8287
- **Mailing address:** 22914 NE 126TH ST, REDMOND, WA 98053-5632
- **Mailing address phone:** (425) 868-8287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 145 | WA | Yes |

## Other

- **Enumeration date:** 11/10/2008
- **Last updated:** 11/12/2008