PORTLAND FOOT AND ANKLE LLC NPI 1225349566

NPI Information

  • NPI: 1225349566
  • Provider Name: PORTLAND FOOT AND ANKLE, LLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • CLIA Number: 38D1015651
  • Address: 9370 SW GREENBURG RD STE A
    PORTLAND, OR
    ZIP 97223
  • Phone: (503) 244-7894

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristDP00332OREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U85324MEDICARE UPINOREGON
2R109622MEDICARE PINOREGON
3228814MEDICAIDOREGON

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: 3/30/2025

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