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Organization
CHELAN-OKANOGAN FOOT & ANKLE
Active
Organization
CHELAN-OKANOGAN FOOT & ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HORLEBEIN DPM (OWNER)
(509) 682-0232
Entity
Organization
Contact information
Practice address
503 E HIGHLAND AVE, CHELAN, WA 98816-8631
(509) 682-3300
(509) 682-6131
Mailing address
503 E HIGHLAND AVE, CHELAN, WA 98816-8631
(509) 682-3300
(509) 682-6131
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P0694
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0146103
L&I
WA
01
—
4266020001
DMERC
—
01
—
4844668
DME
WA
05
—
7104128
—
WA
Enumeration date
04/24/2008
Last updated
04/24/2008
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