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 --

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FAQs about Ankle And Foot Centers Pc

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.

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