- Practice location
- 2408 NE Division St, Bend, OR 97701-3543
- Phone
- 541-382-7521
- Fax
- 541-382-6297
- Last updated
- August 28, 2013
Cascade Foot Clinic is a healthcare organization based in Bend, OR. Cascade Foot Clinic practices in Bend, OR. The NPI Number for Cascade Foot Clinic is 1790987428 and holds a License No. DP00128 (OR). The current practice location address for Cascade Foot Clinic is 2408 NE Division St, Bend, OR 97701-3543 and can be reached out via phone at 541-382-7521 and via fax at 541-382-6297.
Provider Profile Details
- NPI Number
- 1790987428
- Provider Name
- Cascade Foot Clinic
- Provider Entity Type
- Organization
- Address
- 2408 NE Division St, Bend, OR 97701-3543
- Phone Number
- 541-382-7521
- Fax Number
- 541-382-6297
- Primary Taxonomy
- Podiatrist, Primary Podiatric Medicine · 213EP1101X
- Organization Subpart
- No
- Authorized Official
- Dr. Ambrose K Su, DPM · Owner · 541-382-7521
- Provider Enumeration Date
- June 4, 2007
- Last Update Date
- August 28, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2408 NE Division St
Bend, OR 97701-3543 - City
- Bend
- State
- Oregon
- Zip
- 97701-3543
- Phone Number
- 541-382-7521
- Fax Number
- 541-382-6297
Provider Business Mailing Address Details
- Address
- 2408 NE Division St
Bend, OR 97701-3543 - City
- Bend
- State
- OR
- Zip
- 97701-3543
- Phone Number
- 541-382-7521
- Fax Number
- 541-382-6297
License Information
- License Number (1)
- DP00128
- License State (1)
- OR
- Taxonomy (1)
- Podiatrist, Primary Podiatric Medicine · 213EP1101X
- License Number (2)
- DP00159
- License State (2)
- OR
- Taxonomy (2)
- Podiatrist, Primary Podiatric Medicine · 213EP1101X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Cascade Foot Clinic?
The NPI number of Cascade Foot Clinic is 1790987428. It was assigned on June 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Cascade Foot Clinic?
Cascade Foot Clinic is registered under the primary taxonomy Podiatrist, Primary Podiatric Medicine (code 213EP1101X), licensed in OR under license number DP00128.
Where does Cascade Foot Clinic practice?
The practice location is 2408 NE Division St, Bend, OR 97701-3543. The office can be reached at 541-382-7521 (phone) or 541-382-6297 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790987428 directly on the NPPES registry website.