Clover Podiatry Pllc | |
405 Ne 6th Ave, Camas, WA 98607-2037 | |
(360) 450-6644 | |
(360) 524-7847 |
Full Name | Clover Podiatry Pllc |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 405 Ne 6th Ave, Camas, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912525288 | NPI | - | NPPES |
2169432 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Provider Name | Douglas B Rutan |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1821081613 PECOS PAC ID: 7416033287 Enrollment ID: I20080320000098 |
Provider Name | Tek Fish |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1245763127 PECOS PAC ID: 8729406475 Enrollment ID: I20201013001972 |
Provider Name | Jeffery Daniel Linscheid |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942843735 PECOS PAC ID: 6002338761 Enrollment ID: I20250321002993 |
Mailing Address | Practice Location Address |
---|---|
Clover Podiatry Pllc 405 Ne 6th Ave, Camas, WA 98607-2037 Ph: (360) 450-6644 | Clover Podiatry Pllc 405 Ne 6th Ave, Camas, WA 98607-2037 Ph: (360) 450-6644 |
Dr. Tek Fish, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 405 Ne 6th Ave, Camas, WA 98607 Phone: 360-450-6644 Fax: 360-524-7847 |