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
Phone: (360) 694-3668
Fax: (360) 882-3566
Website:
Authorized official contact:
Name: Davis, Kurt W Doctor of Podiatric Medicine (DPM)
Phone: (360) 694-3668
Health care specialties
Specialty | Code | License # | 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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