Organization Active NPI

Columbia Foot and Ankle Clinic, LLC

  • Podiatrist
  • Vancouver, WA
National Provider Identifier
1831956481
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
COLUMBIA FOOT AND ANKLE CLINIC, LLC
Practice address
12411 NE 70TH Cir
Vancouver, WA 98682-4885
Phone
(949) 664-2796
NPI assigned
Feb 29, 2024
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Jane Hillary Cox, ADMINISTRATOR
Title
Credentialing Specialist
Phone
(949) 664-2796

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

12411 NE 70TH Cir
Vancouver, WA 98682-4885

Mailing address

1307 NE 102ND Ave Ste D
Portland, OR 97220-3980
Phone (949) 664-2796

National Provider Directory

National Provider Directory

Locations

1307 NE 102nd Ave
Ste D
Portland, OR 97220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1831956481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 NE 102ND AVE STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203980",
            "telephone_number": "949-664-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 NE 70TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986824885",
            "telephone_number": "949-664-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA FOOT AND ANKLE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "HILLARY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "949-664-2796",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.