Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Evergreen Foot & Ankle Specialists PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1386956704

Evergreen Foot & Ankle Specialists PLLC provides Foot & Ankle Surgery Podiatrist services in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2010.

Licensed in
WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2415 SE 165th Ave Ste 104
Vancouver, WA 98683-4324 Not confirmed with CMS for 16 years — call before visiting
Phone: (360) 694-3668
Fax: (360) 882-3566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO00000682 (WA)
Customized Equipment (DME) Taxonomy 332BC3200X · Licence PO000000682 (WA)

Record details

NPI number1386956704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kurt Davis — Manager · (360) 694-3668
NPI enumeratedJuly 14, 2010
Last updated in NPPESSeptember 14, 2010
Mailing address2415 Se 165th Ave Ste 104, Vancouver, WA 98683-4324

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