PORTLAND FOOT AND ANKLE, LLC (NPI# 1225349566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225349566 |
| Entity Type | Organization |
| Organization Name | PORTLAND FOOT AND ANKLE, LLC |
| Practice Address |
9370 Sw Greenburg Rd Ste A Portland OR 97223-5408 |
| Practice Telephone | 5032447894 |
| Mailing Telephone | 5032447894 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |
| Authorized Official Name | STEPHEN HAYES (OWNER) |
| Authorized Official Telephone | 5032447894 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | DP00332 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 228814 | 05 |
| Street Address |
9370 SW GREENBURG RD STE A |
| City | PORTLAND |
| State | OR |
| Zip Code | 97223-5408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811025273 | Wendy L. Sheldon | Nurse Practitioner | 9370 Sw Greenburg Rd Ste A, Portland, OR 97223-5408 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033560867 | John M Barnes Dpm LLC | Podiatrist | 9615 Nw Randall Ln, Portland, OR 97229-5294 | 2016-06-22 |
| 1619338829 | Cara Beach | Podiatrist | 9900 Sw Hall Blvd Ste 100, Portland, OR 97223-5838 | 2016-03-15 |
| 1265743090 | Nanjin Jasmine Park | Podiatrist | 5311 Sw Baird St, Portland, OR 97219-5023 | 2010-06-26 |
| 1538339395 | Joseph Michael Mozena | Podiatrist | 2227 Ne Hancock St, Portland, OR 97212-4873 | 2008-03-08 |
| 1245443100 | Daniel L Nusser | Podiatrist | 2809 Ne Broadway, Portland, OR 97232 | 2007-05-08 |
| 1114048667 | Dr John D Mozena Dpm PC | Podiatrist | 8305 Se Monterey Ave Ste 101, Portland, OR 97266-7728 | 2007-04-03 |
| 1124116231 | Ray A Mcclanahan | Podiatrist | 725 Nw 19th Ave, Portland, OR 97209 | 2006-10-11 |
| 1942392113 | John M Barnes | Podiatrist | 506 Ne 49th Ave, Portland, OR 97213-2928 | 2006-09-28 |
| 1427150028 | Christopher S. Seuferling Dpm PC | Podiatrist | 7940 Se Division St, Suite E, Portland, OR 97206-1046 | 2006-09-03 |
| 1598867186 | Almira Ko | Podiatrist | 3586 Nw 112th Pl, Portland, OR 97229-4585 | 2006-09-02 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.