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NORTHWEST FOOT & ANKLE NPI 1952477820


NPI Information

NPI: 1952477820
Provider Name: NORTHWEST FOOT & ANKLE
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
725 NW 19TH AVE
PORTLAND, OR
ZIP 97209
Phone: (503) 243-2699
Get Directions

NORTHWEST FOOT & ANKLE 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. NORTHWEST FOOT & ANKLE NPI is 1952477820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

725 NW 19TH AVE
PORTLAND, OR
ZIP 97209-301
Phone: (503) 243-2699
Fax: (503) 243-2698

The provider's authorized official is Ray A Mcclanahan .
The authorized official title is Owner and has the following contact phone number (503) 243-2699.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 3/7/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristDP00317OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1208339OTHEROREGONDSHS (MEDICAID)
2MC5942OTHEROREGONREGENCE RIDER
3480027978OTHEROREGONRAILROAD MEDICARE
41101682MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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