HILLSBORO FOOT & ANKLE CLINIC PC NPI 1629231089

NPI Information

NPI: 1629231089
Provider Name: HILLSBORO FOOT & ANKLE CLINIC PC

Doing Business As: HILLSBORO FOOT CLINIC

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
862 SE OAK ST STE 1A
HILLSBORO, OR
ZIP 97123
Phone: (503) 648-2200
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HILLSBORO FOOT & ANKLE CLINIC PC is a foot and ankle surgery podiatrist in Hillsboro, OR. HILLSBORO FOOT & ANKLE CLINIC PC NPI is 1629231089. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Hillsboro Foot Clinic.

The provider's business location address is:

862 SE OAK ST STE 1A
HILLSBORO, OR
ZIP 97123-240
Phone: (503) 648-2200
Fax: (503) 693-1004

The provider's authorized official is Elliot Michael .
The authorized official title is President and has the following contact phone number (503) 648-2200.

The enumeration date for this NPI number is 7/7/2008 and was last updated on 1/30/2009.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	DP00315	OREGON	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	DP00244	OREGON	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	DP00179	OREGON	Yes

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
1	R0000WCMBV	MEDICARE PIN	OREGON
2	0950720001	MEDICARE NSC	OREGON

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: 5/5/2024

NPI Synchronization or Removal

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