| Family Foot And Ankle Care Incorporation | |
|
1100 Sw Bowmer St, Ste A-103, Oak Harbor, WA 98277-3119 | |
| (360) 679-3117 | |
| (360) 679-3118 |
| Full Name | Family Foot And Ankle Care Incorporation |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1100 Sw Bowmer St, Oak Harbor, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669643102 | NPI | - | NPPES |
| 1119163 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | P000000673 (Washington) | Primary |
| Provider Name | Jon R Tiessen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912918665 PECOS PAC ID: 5991698516 Enrollment ID: I20040205001259 |
| Mailing Address | Practice Location Address |
|---|---|
| Family Foot And Ankle Care Incorporation 1100 Sw Bowmer St, Ste A-103, Oak Harbor, WA 98277-3119 Ph: (360) 679-3117 | Family Foot And Ankle Care Incorporation 1100 Sw Bowmer St, Ste A-103, Oak Harbor, WA 98277-3119 Ph: (360) 679-3117 |
Preferred Podiatry Group Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 171 Sw 6th Ave, Oak Harbor, WA 98277 Phone: 847-504-5000 | |
Dr. Jon R Tiessen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1100 Sw Bowmer St, Suite A-103, Oak Harbor, WA 98277 Phone: 360-679-3117 Fax: 360-679-3118 |