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Harbor Foot & Ankle Clinic Pllc
Prosthetic/Orthotic Supplier in Aberdeen, Washington
NPI 1881923050

Harbor Foot & Ankle Clinic Pllc is a Prosthetic/Orthotic Supplier based in Aberdeen, WA. Harbor Foot & Ankle Clinic Pllc practices in Aberdeen, WA. The NPI Number for Harbor Foot & Ankle Clinic Pllc is 1881923050 and holds a License No. PO 00000320 (Washington).

The current practice location address for Harbor Foot & Ankle Clinic Pllc is 1220 Basich Blvd Ste C, Aberdeen, WA and can be reached out via phone at 360-533-7388 and via fax at 360-533-2529.

Location: 1220 Basich Blvd Ste C, Aberdeen, WA, 98520-1053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881923050
Provider Name
Harbor Foot & Ankle Clinic Pllc
Credential
Provider Entity Type
Organization
Address
1220 Basich Blvd Ste C, Aberdeen, WA, 98520-1053
Phone Number
360-533-7388
Fax Number
360-533-2529
Provider Enumeration Date
12/16/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1078989 05 WA
18653 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
1220 Basich Blvd Ste C
City
Aberdeen
State
Washington
Zip
98520-1053
Phone Number
360-533-7388
Fax Number
360-533-2529
person
Provider Business Mailing Address Details
Address
1220 Basich Blvd Ste C
City
Aberdeen
State
Washington
Zip
98520-1053
Phone Number
360-533-7388
Fax Number
360-533-2529
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
PO 00000320 (Washington)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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