Organization
CENTRAL OREGON FOOT & ANKLE GROUP, INC.
Active
Other names
Central Oregon Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA K WESTFALL DPM (PODIATRY)
(541) 728-0858
Entity
Organization
Contact information
Practice address
1693 SW CHANDLER AVE STE 280, BEND, OR 97702-3231
(541) 728-0858
(844) 622-7945
Mailing address
1693 SW CHANDLER AVE STE 280, BEND, OR 97702-3231
(541) 728-0858
(844) 622-7945
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
DP125967
OR
213ES0131X
Foot Surgery Podiatrist
Primary
DP00439
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026196
—
OR
05
—
50061912
—
OR
01
—
R142443
MEDICARE PTAN
OR
01
—
R149663
MEDICARE PTAN
OR
Enumeration date
07/27/2015
Last updated
01/13/2022
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