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ADVANCED FOOT CLINIC PC NPI 1164528212


NPI Information

NPI: 1164528212
Provider Name: ADVANCED FOOT CLINIC, PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1475 COMMERCIAL ST SE
SALEM, OR
ZIP 97302
Phone: (503) 932-0885
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ADVANCED FOOT CLINIC, PC is a podiatrist in Salem, OR. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ADVANCED FOOT CLINIC, PC NPI is 1164528212. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1475 COMMERCIAL ST SE
SALEM, OR
ZIP 97302-307
Phone: (503) 932-0885
Fax: (503) 625-8638

The provider's authorized official is Hamid R Arabshahi .
The authorized official title is Physician and has the following contact phone number (503) 391-0688.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 4/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristDP00296OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R111524MEDICARE PINOREGON
25738490001OTHEROREGONMEDICARE DME
3R111524OTHEROREGONMEDICARE
45738490001MEDICARE NSCOREGON
5158911MEDICAIDOREGON
6U71028MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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