Three Rivers Foot And Ankle Clinic, Llc in Kelso, WA - Podiatrist

Three Rivers Foot And Ankle Clinic, Llc is a Podiatrist - Foot & Ankle Surgery based in Kelso, Washington. Three Rivers Foot And Ankle Clinic, Llc is licensed to practice in Washington (license number PO00000810) and their current practice location is 1712 Allen St, Kelso, Washington. It can be reached at their office (for appointments etc.) via phone at (360) 261-0965.

NPI number for Three Rivers Foot And Ankle Clinic, Llc is 1114030236 and their current mailing address is 1712 Allen St, Kelso, Washington. Three Rivers Foot And Ankle Clinic, Llc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1114030236.

Contact Information

	Three Rivers Foot And Ankle Clinic, Llc
	1712 Allen St, Kelso, WA 98626-4907
	(360) 261-0965
	Not Available

Healthcare Provider's Profile

Full Name	Three Rivers Foot And Ankle Clinic, Llc
Type	Facility
Speciality	Podiatrist - Foot & Ankle Surgery
Location	1712 Allen St, Kelso, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1114030236
Provider Enumeration Date: 08/15/2006
Last Update Date: 08/22/2020

Medical Identifiers

Medical identifiers for Three Rivers Foot And Ankle Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114030236	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	PO00000810 (Washington)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Three Rivers Foot And Ankle Clinic, Llc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Three Rivers Foot And Ankle Clinic, Llc 1712 Allen St, Kelso, WA 98626-4907 Ph: (360) 261-0965	Three Rivers Foot And Ankle Clinic, Llc 1712 Allen St, Kelso, WA 98626-4907 Ph: (360) 261-0965

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Three Rivers Foot And Ankle Clinic, Llc - Podiatrist in Kelso, WA