Provider Demographics
NPI:1437426145
Name:CAMAS FOOT AND ANKLE PLLC
Entity Type:Organization
Organization Name:CAMAS FOOT AND ANKLE PLLC
Other - Org Name:VANCOUVER FOOT AND ANKLE PLLC EAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:503-244-7894
Mailing Address - Street 1:16701 SE MCGILLIVRAY BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-3462
Mailing Address - Country:US
Mailing Address - Phone:360-834-3707
Mailing Address - Fax:360-834-3569
Practice Address - Street 1:16701 SE MCGILLIVRAY BLVD STE 220
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-3462
Practice Address - Country:US
Practice Address - Phone:360-834-3707
Practice Address - Fax:360-834-3569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-23
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO00000795213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty