CLACKAMAS FOOT & ANKLE CLINIC NPI 1467631069

NPI Information

  • NPI: 1467631069
  • Provider Name: CLACKAMAS FOOT & ANKLE CLINIC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 8800 SE SUNNYSIDE RD STE 105N
    CLACKAMAS, OR
    ZIP 97015
  • Phone: (503) 652-9671

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NPI Details

CLACKAMAS FOOT & ANKLE CLINIC is a foot and ankle surgery podiatrist in Clackamas, OR. CLACKAMAS FOOT & ANKLE CLINIC NPI is 1467631069. The provider is registered as an organization entity type.

The provider's business location address is:

8800 SE SUNNYSIDE RD STE 105N
CLACKAMAS, OR
ZIP 97015-704
Phone: (503) 652-9671

The provider's authorized official is Thuy-trang Lam .
The authorized official title is President and has the following contact phone number (503) 652-9671.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 5/8/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2213ES0103XPodiatristFoot & Ankle SurgeryYes

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
1480019925MEDICARE UPINOREGON
20000SGBMQMEDICARE PINOREGON
3U57010MEDICARE UPINOREGON
41099730001MEDICARE 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: 11/21/2025

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