Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fruitland Orthopedic Clinic

Organization Orthopaedic Surgery Physician · NPI 1710975057

Fruitland Orthopedic Clinic is an Orthopaedic Surgery Physician in Fruitland, Idaho. Licensed in Idaho and Oregon. Registered with an NPI since 2005.

Licensed in
ID, OR
In the registry since
2005
Specialties on file
2

Practice location Address checks out

1118 NW 16th St Ste C
Fruitland, ID 83619-2271
Phone: (208) 452-2510
Fax: (208) 452-2513
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence M-6608 (ID)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD13079 (OR)

Record details

NPI number1710975057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Dahlin — Owner · (208) 452-2510
NPI enumeratedOctober 11, 2005
Last updated in NPPESAugust 22, 2020
Mailing address1118 Nw 16th St, Suite C, Fruitland, ID 83619-2271

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