# HARBOR FOOT & ANKLE CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WILLIAM TRONVIG SOLE MBR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881923050
- **Authorized official:** DR. WILLIAM J TRONVIG DPM (PODIATRIST)
- **Authorized official phone:** (360) 533-7388

## Contact information

- **Practice address:** 1220 BASICH BLVD STE C, ABERDEEN, WA 98520-1053
- **Practice address phone:** (360) 533-7388
- **Practice address fax:** (360) 533-2529
- **Mailing address:** 1220 BASICH BLVD STE C, ABERDEEN, WA 98520-1053
- **Mailing address phone:** (360) 533-7388
- **Mailing address fax:** (360) 533-2529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO 00000320 | WA | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 12/16/2009
- **Last updated:** 08/25/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1078989 | — | WA |
| 01 | — | 18653 | L&I | WA |