Advanced Foot Clinic, Pc

LBN: Advanced Foot Clinic, Pc
Advanced Foot Clinic, Pc is an health care organization with primary practice located at 6464 Sw Borland Rd Ste B3 , Tualatin OR 97062-8855. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Advanced Foot Clinic, Pc can be contacted via phone (503) 612-4040, or through Arabshahi, Azadeh via phone (503) 391-0688.

Contact Information

Primary practice address
6464 Sw Borland Rd Ste B3 Tualatin OR 97062-8855
Phone: (503) 612-4040
Fax: (503) 625-8638
Website:
Map and Directions
Authorized official contact:
Name: Arabshahi, Azadeh
Phone: (503) 391-0688

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP00296 Oregon

Profile Details

NPI number 1063518132
LBN Legal business name Advanced Foot Clinic, Pc
DBA Doing business as
Authorized official Arabshahi, Azadeh
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Mar 9th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063518132 NPPES
Oregon Other R116947 MEDICARE
Oregon Other 5738490002 MEDICARE
Oregon Other 480034478 MEDICARE
Oregon MEDICAID 158911 MEDICARE
Oregon Other 480034478 MEDICARE

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