DEAN MCNABB DPM LLC NPI 1063690527

NPI Information

NPI: 1063690527
Provider Name: DEAN MCNABB DPM LLC

Doing Business As: PACIFIC NW FOOT AND ANKLE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
851 NE BAKER ST
SUITE 4
MCMINNVILLE, OR
ZIP 97128
Phone: (503) 434-5222
Get Directions

DEAN MCNABB DPM LLC is a foot and ankle surgery podiatrist in Mcminnville, OR. DEAN MCNABB DPM LLC NPI is 1063690527. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pacific Nw Foot And Ankle.

The provider's business location address is:

851 NE BAKER ST
SUITE 4
MCMINNVILLE, OR
ZIP 97128-991
Phone: (503) 434-5222
Fax: (877) 878-1984

The provider's authorized official is Earl Dean Mcnabb .
The authorized official title is Owner and has the following contact phone number (503) 390-0959.

The enumeration date for this NPI number is 2/7/2008 and was last updated on 6/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	DP00344	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	182958	MEDICAID	OREGON
2	U91057	MEDICARE UPIN	OREGON
3	118186	OTHER	OREGON	MEDICARE MAC
4	5608380001	MEDICARE NSC	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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