| Clover Podiatry Pllc | |
|
405 Ne 6th Ave, Camas, WA 98607-2037 | |
| (360) 450-6644 | |
| (360) 524-7847 |
| Full Name | Clover Podiatry Pllc |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821081613 PECOS PAC ID: 7416033287 Enrollment ID: I20080320000098 |
| Provider Name | Tek Fish |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245763127 PECOS PAC ID: 8729406475 Enrollment ID: I20201013001972 |
| Provider Name | Jeffery Daniel Linscheid |
|---|---|
| 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 |