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

Podiatry Services of Idaho, PLLC

Organization Podiatrist · NPI 1588861405

Podiatry Services of Idaho, PLLC provides Podiatrist services in Caldwell, Idaho. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
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

229 E Logan St
Caldwell, ID 83605-4835
Phone: (208) 402-6587
Fax: (084) 026-5782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence DP00359 (OR)

Record details

NPI number1588861405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Camille Harris — Ceo · (208) 402-6587
NPI enumeratedJuly 3, 2007
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022
Mailing address1105 E Ustick Rd, Caldwell, ID 83605-6306

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