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Organization
ROSEBURG FOOT & ANKLE SPECIALISTS, P.C.
Active
Organization
ROSEBURG FOOT & ANKLE SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE KARPONTINIS (OFFICE ADMINISTRATOR)
(541) 673-7322
Entity
Organization
Contact information
Practice address
1813 W HARVARD AVE STE 542, ROSEBURG, OR 97471-2779
(541) 673-7322
(541) 673-3615
Mailing address
1813 W HARVARD AVE STE 542, ROSEBURG, OR 97471-2779
(541) 673-7322
(541) 673-3615
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
273
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0586980-00
REGENCE BLUE CROSS
—
01
—
273
OREGON LICENSE NUMBER
OR
01
—
4307932-00
REGENCE MEDADVANTAGE
—
05
—
500635904
—
OR
Enumeration date
01/26/2010
Last updated
02/06/2025
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