NPI 1790987428

Cascade Foot Clinic

Organisation Primary Podiatric Medicine Podiatrist Bend, OR

Practice location

Address: 2408 NE Division St, Bend, OR 97701-3543
Phone: (541) 382-7521
Fax: (541) 382-6297

Authorised official

Name: Ambrose K Su
Title: Owner
Phone: (541) 382-7521

Registered specialties (2)

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence DP00159 (OR)

Other Podiatrist providers in Oregon →

Primary Podiatric Medicine Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence DP00128 (OR)

Registry record

NPI: 1790987428
Entity type: Organization
NPI issued: 4 Jun 2007
Record last updated: 28 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.