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ANKLE AND FOOT CENTERS PC NPI 1710017256


NPI Information

NPI: 1710017256
Provider Name: ANKLE AND FOOT CENTERS PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
6274 SW CAPITOL HWY
PORTLAND, OR
ZIP 97239
Phone: (503) 246-2212
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ANKLE AND FOOT CENTERS PC 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. ANKLE AND FOOT CENTERS PC NPI is 1710017256. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6274 SW CAPITOL HWY
PORTLAND, OR
ZIP 97239-674
Phone: (503) 246-2212
Fax: (503) 246-4050

The provider's authorized official is Steven Gary Tillett .
The authorized official title is Ceo and has the following contact phone number (503) 246-2212.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 2/12/2020.


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
1213E00000XPodiatristDP00300OREGONYes

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
1227113OTHEROREGONOMAP
2DG6557OTHERRR MCR
3227113MEDICAIDOREGON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.