Organization
CLACKAMAS FOOT & ANKLE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THUY-TRANG LAM DPM (PRESIDENT, DPM)
(503) 652-9671
Entity
Organization
Contact information
Practice address
8800 SE SUNNYSIDE RD, SUITE 105N, CLACKAMAS, OR 97015-5738
(503) 652-9671
Mailing address
8800 SE SUNNYSIDE RD, SUITE 105N, CLACKAMAS, OR 97015-5738
(503) 652-9671
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
DP00267
OR
213ES0131X
Foot Surgery Podiatrist
Primary
DP00267
OR
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480019925
MEDICARE RAILROAD GBA
OR
01
—
DE4383
MEDICARE RAILROAD - GBA
OR
Enumeration date
11/28/2006
Last updated
01/15/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up