OrganizationActive
Evergreen Foot & Ankle Specialists PLLC
NPI 1386956704 · Foot & Ankle Surgery Podiatrist · Vancouver, WA
Provider details
- NPI number
- 1386956704
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kurt Davis, Manager(360) 694-3668
- License
- PO000000682 (WA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Suppliers
Practice location
2415 Se 165th Ave Ste 104
Vancouver, WA 98683-4324
Phone: (360) 694-3668
Fax: (360) 882-3566
Approximate (ZIP-level) locationGet directions
Mailing address
2415 Se 165th Ave Ste 104
Vancouver, WA 98683-4324
Registry dates
- Enumerated
- 2010-07-14
- Last updated
- 2010-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.