Evergreen Foot & Ankle Specialists Pllc

LBN: Evergreen Foot & Ankle Specialists Pllc
Evergreen Foot & Ankle Specialists Pllc is an health care organization with primary practice located at 2415 Se 165Th Ave Ste 104 , Vancouver WA 98683-4324. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Customized Equipment. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Evergreen Foot & Ankle Specialists Pllc can be contacted via phone (360) 694-3668, or through Davis, Kurt W via phone (360) 694-3668.

Contact Information

Primary practice address
2415 Se 165Th Ave Ste 104 Vancouver WA 98683-4324
Fax: (360) 882-3566
Website:
Authorized official contact:
Name: Davis, Kurt W Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO00000682 Washington
Suppliers / Customized Equipment 332BC3200X PO000000682 Washington

Profile Details

NPI number 1386956704
LBN Legal business name Evergreen Foot & Ankle Specialists Pllc
DBA Doing business as
Authorized official Davis, Kurt W Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2010
Last updated Sep 14th, 2010 - about 15 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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