| Advanced Foot Clinic, Pc | |
|
6464 Sw Borland Rd Ste B3, Tualatin, OR 97062-8855 | |
| (503) 612-4040 | |
| (503) 625-8638 |
| Full Name | Advanced Foot Clinic, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 6464 Sw Borland Rd Ste B3, Tualatin, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063518132 | NPI | - | NPPES |
| R116947 | Other | OR | MEDICARE |
| 5738490002 | Other | OR | MEDICARE DME |
| 480034478 | Other | OR | RAILROAD MEDICARE |
| 158911 | Medicaid | OR | |
| 480034478 | Other | OR | PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | DP00296 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Foot Clinic, Pc Po Box 1550, Sherwood, OR 97140-1550 Ph: (503) 612-4040 | Advanced Foot Clinic, Pc 6464 Sw Borland Rd Ste B3, Tualatin, OR 97062-8855 Ph: (503) 612-4040 |
Cassandra Bree Tomczak, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave Ste 200, Tualatin, OR 97062 Phone: 503-413-2005 Fax: 503-413-3699 |