Provider Demographics
NPI:1619919891
Name:ALUMBAUGH, DANA (DPM)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:ALUMBAUGH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1790 MAY ST
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1369
Mailing Address - Country:US
Mailing Address - Phone:541-386-3057
Mailing Address - Fax:541-386-3752
Practice Address - Street 1:1790 MAY ST
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1369
Practice Address - Country:US
Practice Address - Phone:541-386-3057
Practice Address - Fax:541-386-3752
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDP00266213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORU62608Medicare UPIN
ORAB21160Medicare ID - Type Unspecified