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MT. HOOD PODIATRY NPI 1366623134


NPI Information

NPI: 1366623134
Provider Name: MT. HOOD PODIATRY

Doing Business As: MT HOOD PODIATRY

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1100 EAST MARINA WAY
SUITE 223
HOOD RIVER, OR
ZIP 97031
Phone: (541) 386-1006
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MT. HOOD PODIATRY is a foot and ankle surgery podiatrist in Hood River, OR. MT. HOOD PODIATRY NPI is 1366623134. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mt Hood Podiatry.

The provider's business location address is:

1100 EAST MARINA WAY
SUITE 223
HOOD RIVER, OR
ZIP 97031-540
Phone: (541) 386-1006
Fax: (541) 386-1284

The provider's authorized official is Kessa Mauras .
The authorized official title is Doctor and has the following contact phone number (541) 386-1006.

The enumeration date for this NPI number is 11/20/2007 and was last updated on 2/7/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryDP00203OREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10348910002MEDICARE NSCOREGON
20348910001MEDICARE NSCOREGON

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: 5/5/2024
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