Organization
ELITE FOOT & ANKLE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR J HAYNES DPM (OWNER/MANAGER)
(208) 316-7729
Entity
Organization
Contact information
Practice address
37569 HIGHWAY 26, SANDY, OR 97055-9301
(503) 668-5210
(877) 480-9759
Mailing address
37569 HIGHWAY 26, SANDY, OR 97055-9301
(503) 668-5210
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500740646
—
OR
Enumeration date
02/14/2018
Last updated
11/04/2024
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