| Columbia Foot And Ankle Clinic, Llc | |
|
12411 Ne 70th Cir, Vancouver, WA 98682-4885 | |
| (602) 615-9915 | |
| Not Available |
| Full Name | Columbia Foot And Ankle Clinic, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 12411 Ne 70th Cir, Vancouver, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073393260 | NPI | - | NPPES |
| 1265164198 | Other | WA | NPI |
| 2228399 | Medicaid | WA | |
| 500823690 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Virgil Livingston |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265164198 PECOS PAC ID: 9638288830 Enrollment ID: I20230106000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Foot And Ankle Clinic, Llc 12411 Ne 70th Cir, Vancouver, WA 98682-4885 Ph: (602) 615-9915 | Columbia Foot And Ankle Clinic, Llc 12411 Ne 70th Cir, Vancouver, WA 98682-4885 Ph: (602) 615-9915 |
Dynamic Foot And Ankle Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8716 E Mill Plain Blvd, Vancouver, WA 98664 Phone: 503-530-9245 | |
Daren Benson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 Fax: 360-604-1735 | |
Dr. Anthony Joseph Domenigoni, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 203 Se Park Plaza Dr, Vancouver, WA 98684 Phone: 360-449-7040 | |
Brian Houng, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St, Vancouver, WA 98686 Phone: 360-882-2778 | |
Ellen Mercedes Wenzel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 601 Se 117th Ave, Suite 240, Vancouver, WA 98683 Phone: 360-977-7815 Fax: 888-568-4875 | |
Dr. Christopher D Lotufo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 501 Se 172nd Ave, Ste 140, Vancouver, WA 98684 Phone: 360-882-2778 Fax: 360-604-1697 |