# ISSAQUAH FOOT & ANKLE SPECIALISTS PLLC

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

## Provider details

- **NPI number:** 1558480947
- **Authorized official:** DR. TIMOTHY W. YOUNG D.P.M. (ADMINISTRATOR)
- **Authorized official phone:** (425) 391-8666

## Contact information

- **Practice address:** 450 NW GILMAN BLVD, SUITE 303, ISSAQUAH, WA 98027-2483
- **Practice address phone:** (425) 391-8666
- **Practice address fax:** (425) 392-6433
- **Mailing address:** 450 NW GILMAN BLVD, SUITE 303, ISSAQUAH, WA 98027-2483
- **Mailing address phone:** (425) 391-8666
- **Mailing address fax:** (425) 392-6433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 03/29/2018