| Santiam Foot Clinic, Pc | |
|
2235 Mission St Se Ste 150, Salem, OR 97302-1294 | |
| (503) 581-2505 | |
| (503) 581-2515 |
| Full Name | Santiam Foot Clinic, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 2235 Mission St Se Ste 150, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528395043 | NPI | - | NPPES |
| 138101 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | DP00297 (Oregon) | Primary |
| Provider Name | John T Callahan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861496804 PECOS PAC ID: 7214914928 Enrollment ID: I20040701000215 |
| Provider Name | Tyler Spalding Manson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679833131 PECOS PAC ID: 2961711767 Enrollment ID: I20180606001380 |
| Mailing Address | Practice Location Address |
|---|---|
| Santiam Foot Clinic, Pc 2235 Mission St Se Ste 150, Salem, OR 97302-1294 Ph: (503) 581-2505 | Santiam Foot Clinic, Pc 2235 Mission St Se Ste 150, Salem, OR 97302-1294 Ph: (503) 581-2505 |
James E. Lisle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3474 Liberty Rd S, Salem, OR 97302 Phone: 503-588-8188 Fax: 503-588-0884 | |
John T. Callahan, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2235 Mission St Se Ste 150, Salem, OR 97302 Phone: 503-581-2505 Fax: 503-581-2515 | |
Trevor Tippets Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1750 13th St Se, Salem, OR 97302 Phone: 503-588-8188 Fax: 503-588-0884 | |
Advanced Foot Clinic, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1475 Commercial St Se, Salem, OR 97302 Phone: 503-932-0885 Fax: 503-625-8638 | |
Sean Westover, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1750 13th St Se, Salem, OR 97302 Phone: 503-588-8188 Fax: 503-588-0884 | |
Michael Jackson Matthews, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-367-5400 | |
Richard W. Peffley, Dpm, A Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 350 Miller St Se, Salem, OR 97302 Phone: 503-370-8784 Fax: 503-362-4017 |