Organization Active NPI

Clackamas Foot & Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Clackamas, OR
National Provider Identifier
1467631069
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CLACKAMAS FOOT & ANKLE CLINIC
Practice address
8800 SE Sunnyside Rd Ste 105N
Clackamas, OR 97015-5704
Phone
(503) 652-9671
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thuy-Trang Lam, DPMNPI 1649481888
Title
President
Phone
(503) 652-9671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

8800 SE Sunnyside Rd Ste 105N
Clackamas, OR 97015-5704

Mailing address

8800 SE Sunnyside Rd Ste 105N
Clackamas, OR 97015-5704
Phone (503) 652-9671

National Provider Directory

National Provider Directory

Locations

8800 SE Sunnyside Rd
Ste 105N
Clackamas, OR 97015
Phone (503) 652-9671

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1467631069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 105N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155704",
            "telephone_number": "503-652-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 105N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155704",
            "telephone_number": "503-652-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACKAMAS FOOT & ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "THUY-TRANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-652-9671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.