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CENTRAL OREGON FOOT & ANKLE GROUP INC. NPI 1669857181


NPI Information

NPI: 1669857181
Provider Name: CENTRAL OREGON FOOT & ANKLE GROUP, INC.

Doing Business As: CENTRAL OREGON FOOT & ANKLE

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1693 SW CHANDLER AVE STE 280
BEND, OR
ZIP 97702
Phone: (541) 728-0858
Get Directions

CENTRAL OREGON FOOT & ANKLE GROUP, INC. is a foot surgery podiatrist in Bend, OR. CENTRAL OREGON FOOT & ANKLE GROUP, INC. NPI is 1669857181. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Central Oregon Foot & Ankle.

The provider's business location address is:

1693 SW CHANDLER AVE STE 280
BEND, OR
ZIP 97702-231
Phone: (541) 728-0858
Fax: (844) 622-7945

The provider's authorized official is Amanda K Westfall .
The authorized official title is Podiatry and has the following contact phone number (541) 728-0858.

The enumeration date for this NPI number is 7/27/2015 and was last updated on 1/13/2022.


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
1213EP1101XPodiatristPrimary Podiatric MedicineDP125967OREGONNo
2213ES0131XPodiatristFoot SurgeryDP00439OREGONYes

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
150061912MEDICAIDOREGON
2R142443OTHEROREGONMEDICARE PTAN
3026196MEDICAIDOREGON
4R149663OTHEROREGONMEDICARE PTAN

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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