Organization
DEAN T NAKADATE DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN T NAKADATE DPM (OWNER/PHYSICIAN)
(541) 383-3668
Entity
Organization
Contact information
Practice address
1506 NE WILLIAMSON BLVD, BEND, OR 97701-6071
(541) 383-3668
(541) 383-4546
Mailing address
1506 NE WILLIAMSON BLVD, BEND, OR 97701-6071
(541) 383-3668
(541) 383-4546
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00442
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
DP00442
OR
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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