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SANTIAM FOOT CLINIC PC NPI 1528395043


NPI Information

NPI: 1528395043
Provider Name: SANTIAM FOOT CLINIC, PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2235 MISSION ST SE STE 150
SALEM, OR
ZIP 97302
Phone: (503) 581-2505
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SANTIAM 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. SANTIAM FOOT CLINIC, PC NPI is 1528395043. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2235 MISSION ST SE STE 150
SALEM, OR
ZIP 97302-294
Phone: (503) 581-2505
Fax: (503) 581-2515

The provider's authorized official is John Thomas Callahan .
The authorized official title is Podiatric Physician And Surgeon and has the following contact phone number (503) 581-2505.

The enumeration date for this NPI number is 11/4/2009 and was last updated on 5/26/2010.


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
1213E00000XPodiatristDP00297OREGONYes

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
1R150066MEDICARE UPIN
26357250001MEDICARE NSCOREGON
3U70991MEDICARE UPINOREGON
4R150065MEDICARE UPIN
5138101MEDICAIDOREGON

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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