Northwest Foot & Ankle

LBN: Northwest Foot & Ankle
Northwest Foot & Ankle is an health care organization with primary practice located at 725 Nw 19Th Ave , Portland OR 97209-1301. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Northwest Foot & Ankle can be contacted via phone (503) 243-2699, or through Mcclanahan, Ray A via phone (503) 243-2699.

Contact Information

Primary practice address
725 Nw 19Th Ave Portland OR 97209-1301
Fax: (503) 243-2698
Website:
Authorized official contact:
Name: Mcclanahan, Ray A Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP00317 Oregon

Profile Details

NPI number 1952477820
LBN Legal business name Northwest Foot & Ankle
DBA Doing business as
Authorized official Mcclanahan, Ray A Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2006
Last updated Mar 7th, 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 1952477820 NPPES
Oregon Other 208339 DSHS (MEDICAID)
Oregon Other MC5942 DSHS (MEDICAID)
Oregon Other 480027978 DSHS (MEDICAID)
Oregon MEDICAID 1101682 DSHS (MEDICAID)

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