# ALDERWOOD ANKLE & FOOT CLINIC P.S.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALDERWOOD ANKLE AND FOOT CLINIC, P.S.
- **Other names:** Lake Stevens Ankle and Foot Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942967393
- **Legal business name:** ALDERWOOD ANKLE AND FOOT CLINIC, P.S.
- **Authorized official:** SOPHINA Y NUNEZ (VICE PRESIDENT)
- **Authorized official phone:** (425) 778-5666

## Contact information

- **Practice address:** 9514 4TH ST NE UNIT 201, LAKE STEVENS, WA 98258-1937
- **Practice address phone:** (425) 397-7401
- **Practice address fax:** (425) 397-7627
- **Mailing address:** 9514 4TH ST NE UNIT 201, LAKE STEVENS, WA 98258-1937
- **Mailing address phone:** (425) 397-7401
- **Mailing address fax:** (425) 397-7627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2021
- **Last updated:** 01/19/2022