# ALPINE FOOT & ANKLE CLINIC, PS

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

## Provider details

- **NPI number:** 1629254339
- **Authorized official:** DR. FRED J HAWLEY JR. DPM (PRESIDENT/OWNER)
- **Authorized official phone:** (360) 653-2326

## Contact information

- **Practice address:** 17432 SMOKEY POINT BLVD, SUITE 103, ARLINGTON, WA 98223-6363
- **Practice address phone:** (360) 653-2326
- **Practice address fax:** (360) 658-8944
- **Mailing address:** 17432 SMOKEY POINT BLVD, SUITE 103, ARLINGTON, WA 98223-6363
- **Mailing address phone:** (360) 653-2326
- **Mailing address fax:** (360) 658-8944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO676 | WA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PO676 | WA | — |
| 335E00000X | Prosthetic/Orthotic Supplier | PO676 | WA | — |

## Other

- **Enumeration date:** 01/11/2008
- **Last updated:** 03/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7111271 | — | WA |