Organization
NORTHWEST FOOT & ANKLE ASSOCIATES, P.S.
Active
Parent organization
NORTHWEST FOOT AND ANKLE ASSOCIATES
Other names
Active Foot & Ankle
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST FOOT AND ANKLE ASSOCIATES
Authorized official
CHERYL ANN MOORE (BILLING MANAGER)
(425) 775-1505
Entity
Organization
Contact information
Practice address
1545 NE 65TH ST, SEATTLE, WA 98115-6800
(206) 528-0100
(206) 528-2112
Mailing address
21229 84TH AVE W, EDMONDS, WA 98026-7304
(425) 775-1505
(425) 775-9078
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50-C0001166
STATE CERTIFICATION NUMBER
WA
Enumeration date
04/02/2007
Last updated
12/20/2013
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