Organization
AMBULATORY FOOT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L SIMCHUK DPM (EXCUTIVE OFFICER)
(541) 471-7056
Entity
Organization
Contact information
Practice address
1619 NW HAWTHORNE AVE STE 110, GRANTS PASS, OR 97526-6008
(541) 471-7056
Mailing address
1619 NW HAWTHORNE AVE, STE 110, GRANTS PASS, OR 97526-6008
(541) 471-7056
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00291
OR
Other
Enumeration date
04/23/2007
Last updated
10/29/2025
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