Ankle And Foot Centers Pc in Portland - Podiatrist
Ankle And Foot Centers Pc - NPI 1710017256
Ankle And Foot Centers Pc is a Podiatrist in Portland, Oregon. Ankle And Foot Centers Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Ankle And Foot Centers Pc is 1710017256. The last update date is 2020-02-12.
Ankle And Foot Centers Pc'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 Ankle And Foot Centers Pc is 6274 Sw Capitol Hwy, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Ankle And Foot Centers Pc |
---|---|
Address | 6274 Sw Capitol Hwy, Portland, Oregon |
Phone Number | 5032462212 |
Fax Number | 5032464050 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
---|---|
Authorized Official Name | Tillett Gary Steven |
Credentials | DPM |
Telephone Number | 5032462212 |
NPI Number Detail
NPI Number | 1710017256 |
---|---|
Provider Enumeration Date | 2007-03-06 |
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 | Podiatrist |
---|---|
Taxonomy | 213E00000X |
Licence No | DP00300 |
Definition: 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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
DG6557 | RR MCR | ||
227113 | OR | OMAP | |
227113 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ankle And Foot Centers Pc by the Centers for Medicare & Medicaid Services?
The Ankle And Foot Centers Pc has been issued the NPI (National Provider Identifier) 1710017256 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ankle And Foot Centers Pc?
The Ankle And Foot Centers Pc is physically situated at 6274 Sw Capitol Hwy, in the city of Portland, state of OR, with the postal code 972392674.
What is Ankle And Foot Centers Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ankle And Foot Centers Pc is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.
On what date did the Ankle And Foot Centers Pc receive the assignment of its 1710017256 from the Centers for Medicare & Medicaid Services?
The Ankle And Foot Centers Pc was issued its 1710017256 by the Centers for Medicare & Medicaid Services on 2007-03-06.
As of what date was the information pertaining to Ankle And Foot Centers Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ankle And Foot Centers Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-02-12.
NPI Number: 1023014131
Address: 3901 Houma Blvd, Metairie, LA