PORTLAND FOOT AND ANKLE LLC NPI 1225349566

NPI Information

PORTLAND FOOT AND ANKLE, LLC is a podiatrist in Portland, OR. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PORTLAND FOOT AND ANKLE, LLC NPI is 1225349566. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9370 SW GREENBURG RD STE A
PORTLAND, OR
ZIP 97223-408
Phone: (503) 244-7894

The provider's authorized official is Stephen Hayes .
The authorized official title is Owner and has the following contact phone number (503) 244-7894.

The CLIA number assigned to this NPI record is 38D1015651 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/1/2010 and was last updated on 7/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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