Organization
COLUMBIA FOOT HEALTH CLINIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARIAN JERALD VANGORKUM DPM (PRESIDENT)
(509) 946-7602
Entity
Organization
Contact information
Practice address
925 STEVENS DR STE 2D, RICHLAND, WA 99352-3523
(509) 946-7602
(509) 943-9389
Mailing address
925 STEVENS DR STE 2D, RICHLAND, WA 99352-3523
(509) 946-7602
(509) 943-9389
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7090251
—
WA
Enumeration date
12/20/2007
Last updated
07/12/2023
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