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Organization

DEAN MCNABB DPM LLC

Active
Other names
PACIFIC NW FOOT AND ANKLE
Organization subpart
No

Provider details

NPI number
Authorized official
EARL DEAN MCNABB DPM (OWNER)
(503) 390-0959
Entity
Organization

Contact information

Practice address
851 NE BAKER ST, SUITE 4, MCMINNVILLE, OR 97128-4991
(503) 434-5222
(877) 878-1984
Mailing address
PO BOX 20367, KEIZER, OR 97307-0367
(503) 390-0959
(877) 878-1984

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00344
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
118186
MEDICARE MAC
OR
05
182958
OR
Enumeration date
02/07/2008
Last updated
06/14/2013
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