Healthcare Provider Details

I. General information

NPI: 1669798930
Provider Name (Legal Business Name): ZARKO KAJGANA DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2010
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 SE 117TH AVE SUITE 240
VANCOUVER WA
98683-5297
US

IV. Provider business mailing address

601 SE 117TH AVE STE 240
VANCOUVER WA
98683-5297
US

V. Phone/Fax

Practice location:
  • Phone: 360-977-7815
  • Fax: 888-568-4875
Mailing address:
  • Phone: 360-977-7815
  • Fax: 888-568-4875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License NumberPO60122636
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPO60122636
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO60122636
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO60122636
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberPO60122636
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code213ER0200X
TaxonomyRadiology Podiatrist
License NumberPO60122636
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: