Organization
FASA FAMILY WELLNESS PLLC
Active
Other names
Cascade Foot & Ankle PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE KREIGHBAUM (REGIONAL CREDENTIALING SPECIALIST)
(314) 909-1920
Entity
Organization
Contact information
Practice address
2400 RACQUET LN, YAKIMA, WA 98902-6109
(509) 225-3668
(509) 225-3448
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(866) 626-1540
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000565
WA
Other
Enumeration date
08/14/2006
Last updated
05/12/2025
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