Organization
COLUMBIA FOOT AND ANKLE CLINIC, LLC
Active
Other names
Columbia Foot and Ankle Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JANE H COX ADMINISTRATOR (CREDENTIALING SPECIALIST)
(949) 664-2796
Entity
Organization
Contact information
Practice address
12411 NE 70TH CIR, VANCOUVER, WA 98682-4885
(602) 615-9915
Mailing address
12411 NE 70TH CIR, VANCOUVER, WA 98682-4885
(602) 615-9915
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265164198
NPI
WA
05
—
2228399
—
WA
05
—
500823690
—
OR
Enumeration date
10/04/2023
Last updated
03/13/2024
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