Elite Mobile Wound Care Llc | |
37569 Highway 26, Sandy, OR 97055-9301 | |
(503) 668-5210 | |
Not Available |
Full Name | Elite Mobile Wound Care Llc |
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Type | Facility |
Speciality | Podiatrist |
Location | 37569 Highway 26, Sandy, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1902634256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Trevor Jon Haynes |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1144576224 PECOS PAC ID: 2961718085 Enrollment ID: I20180403002537 |
Provider Name | Heather Brianna Sullivan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205383890 PECOS PAC ID: 7517248958 Enrollment ID: I20190816001826 |
Provider Name | Daniel Joseph Mcmanus |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1225618333 PECOS PAC ID: 2163969759 Enrollment ID: I20240731003263 |
Mailing Address | Practice Location Address |
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Elite Mobile Wound Care Llc 37569 Highway 26, Sandy, OR 97055-9301 Ph: () - | Elite Mobile Wound Care Llc 37569 Highway 26, Sandy, OR 97055-9301 Ph: (503) 668-5210 |
Dr. Trevor J Haynes, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 37569 Highway 26, Sandy, OR 97055 Phone: 503-668-5210 Fax: 877-480-9759 | |
Elite Foot & Ankle Associates Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 37569 Highway 26, Sandy, OR 97055 Phone: 503-668-5210 Fax: 877-480-9759 |