Organization
OREGON FOOT & ANKLE SURGICAL SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN WILLIAM RAWCLIFFE DPM (OWNER)
(541) 482-4926
Entity
Organization
Contact information
Practice address
1661 HWY 99 N, SUITE 201, ASHLAND, OR 97520-8900
(541) 482-4924
(541) 488-1732
Mailing address
1661 HWY 99 N, SUITE 201, ASHLAND, OR 97520-8900
(541) 482-4924
(541) 488-1732
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00358
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234449
—
OR
Enumeration date
03/23/2010
Last updated
11/12/2010
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