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EVERGREEN FOOT & ANKLE SPECIALISTS PLLC
NPI 1386956704
Podiatrist - Foot & Ankle Surgery in Vancouver, WA

Active since July 14, 2010
2415 SE 165TH AVE STE 104, VANCOUVER, WA 98683(360) 694-3668(360) 882-3566 Get Directions Write a Review

NPPES record last updated: September 14, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evergreen Foot & Ankle Specialists Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN FOOT & ANKLE SPECIALISTS PLLC (NPI 1386956704) is a healthcare organization registered as a foot & ankle surgery in Vancouver, Washington and active in the NPI registry since July 2010. The organization lists Kurt W Davis, Manager, as its authorized official.

NPPES Registry Identity

NPI1386956704
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameEVERGREEN FOOT & ANKLE SPECIALISTS PLLC
Location Address2415 SE 165TH AVE STE 104Vancouver, WA 98683-4324
Mailing Address2415 Se 165th Ave Ste 104Vancouver, WA 98683-4324 · (360) 694-3668 · Fax (360) 882-3566
Phone(360) 694-3668
Fax(360) 882-3566
Organization SubpartNo
Authorized OfficialKurt W DavisManager · (360) 694-3668
Enumeration DateJuly 14, 2010
Last NPPES UpdateSeptember 14, 2010
✔ NPI 1386956704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in WA · PO00000682
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X · License PO000000682 (WA)
2415 SE 165TH AVE STE 104, Vancouver, WA 98683
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREVAIL WELLNESS CENTER
Naturopath
2415 SE 165TH AVE STE 104
VANCOUVER, WA 98683
Clark County (360) 558-3990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Foot & Ankle Specialists PLLC's NPI number?

The NPI number for Evergreen Foot & Ankle Specialists PLLC is 1386956704. It was assigned to this organization in the NPPES registry on July 14, 2010.

Where is Evergreen Foot & Ankle Specialists PLLC located?

Evergreen Foot & Ankle Specialists PLLC is located at 2415 SE 165th Ave Ste 104, Vancouver, WA 98683. The listed phone number is (360) 694-3668.

What is Evergreen Foot & Ankle Specialists PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Evergreen Foot & Ankle Specialists PLLC was last updated on September 14, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.