Steven Gary Tillett in Portland - Foot Surgery
Steven Gary Tillett - NPI 1134102320
Steven Gary Tillett is a Foot Surgery in Portland, Oregon. Steven Gary Tillett practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Steven Gary Tillett is 1134102320. The last update date is 2020-02-12.
Steven Gary Tillett's current location address is 6274 Sw Capitol Hwy, Portland, Oregon. You can contact this provider via phone number 5032462212 and fax number 5032464050. The mailing address for Steven Gary Tillett is 6274 Sw Capitol Hwy, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Gary Tillett |
|---|---|
| Address | 6274 Sw Capitol Hwy, Portland, Oregon |
| Phone Number | 5032462212 |
| Fax Number | 5032464050 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1134102320 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2020-02-12 |
Provider Mailing Address Detail
| Address | 6274 Sw Capitol Hwy |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972392674 |
| Phone Number | 5032462212 |
| Fax Number | 5032464050 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | DP00300 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 831001001 | BC | ||
| 480031007 | RR MEDICARE | ||
| 227113 | OR | OMAP | |
| 227113 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Steven Gary Tillett by the Centers for Medicare & Medicaid Services?
The Steven Gary Tillett has been assigned the NPI (National Provider Identifier) 1134102320 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Steven Gary Tillett's facilities are situated?
The facilities of Steven Gary Tillett are physically located at the following address: 6274 Sw Capitol Hwy, Portland, OR, 972392674.
What is the area of specialization for Steven Gary Tillett, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Steven Gary Tillett is Foot Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0131X.
When did Steven Gary Tillett receive its 1134102320 assignment?
The Steven Gary Tillett was assigned its 1134102320 on 2005-11-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Steven Gary Tillett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Steven Gary Tillett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-02-12.