OREGON CITY FOOT CLINIC, PC (NPI# 1518945922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518945922 |
| Entity Type | Organization |
| Organization Name | OREGON CITY FOOT CLINIC, PC |
| Practice Address |
1510 Division St Suite 80 Oregon City OR 97045-1581 |
| Practice Telephone | 5036550775 |
| Practice Fax Number | 5036550751 |
| Mailing Telephone | 5036550775 |
| Mailing Fax Number | 5036550751 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICIA EILEEN CAIN (PRESIDENT) |
| Authorized Official Telephone | 5036550775 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
DP00269 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 158763 | 05 | |
| OR | BLUECROSS BLUESHIELD HMO | 3004485 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON CITY FOOT CLINIC, PC | 1510 Division St Ste 80, Oregon City, OR 97045 |
| Street Address |
1510 DIVISION ST SUITE 80 |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-1581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387049 | Kevin Raymond Johnson I | Surgery | 1510 Division St, Ste 210, Oregon City, OR 97045-1599 | 2005-06-22 |
| 1558819235 | Heather Mirenda | Social Worker | 1510 Division St, 90, Oregon City, OR 97045-1581 | 2016-09-12 |
| 1538454665 | Providence Health & Services - Oregon | Internal Medicine | 1510 Division St, Suite 130, Oregon City, OR 97045-1572 | 2011-06-16 |
| 1346533585 | Providence Health & Services - Oregon | Clinic/Center | 1510 Division St, Suite 100, Oregon City, OR 97045-1572 | 2011-05-20 |
| 1144529306 | Jennifer Eileen Shepard | Pediatrics | 1510 Division St, Suite 280, Oregon City, OR 97045-1581 | 2011-03-26 |
| 1194057497 | Providence Health & Services - Oregon | Clinic/Center | 1510 Division St, Ste 170, Oregon City, OR 97045-1581 | 2010-02-11 |
| 1730411034 | Providence Health & Services - Oregon | Clinic/Center | 1510 Division St, Suite 210, Oregon City, OR 97045-1599 | 2010-02-11 |
| 1821320128 | Providence Health & Services - Oregon | Clinic/Center | 1510 Division St, Ste 170, Oregon City, OR 97045-2551 | 2010-02-11 |
| 1891026647 | Providence Health & Services - Oregon | Clinic/Center | 1510 Division St, Suite 200, Oregon City, OR 97045-1599 | 2010-01-19 |
| 1942454087 | Willamette Falls Hospital | Physical Medicine & Rehabilitation | 1510 Division St, Suite 170, Oregon City, OR 97045-1581 | 2008-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386070464 | Robert W Geister and Associates Inc | Clinic/Center | 39400 Pioneer Blvd, Suite 4, Sandy, OR 97055-8000 | 2013-09-19 |
| 1649448804 | Eugene Podiatry Associates PC | Clinic/Center | 1060 Chambers St., Eugene, OR 97402 | 2008-02-11 |
| 1508967886 | Medford Foot & Ankle Clinic, PC | Clinic/Center | 713 Golf View Drive, Medford, OR 97504-9643 | 2006-09-26 |
| 1639158611 | Willamette Valley Foot & Ankle Center PC | Clinic/Center | 212 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2006-01-10 |
| 1912413147 | Santiam Memorial Hospital | Clinic/Center | 1369 N 10th Ave, Stayton, OR 97383 | 2017-12-26 |
| 1659638872 | R Tyson Scott Dpm LLC | Clinic/Center | 800 Liberty St Se, Salem, OR 97302 | 2012-04-12 |
| 1851557607 | Ankle and Foot Clinic of Oregon | Clinic/Center | 5528 Se Powell Blvd, Portland, OR 97206-2956 | 2008-07-31 |
| 1093993453 | Lyndon G Johansen Dpm PC | Clinic/Center | 12658 Se Stark St, Portland, OR 97233-1058 | 2008-02-07 |
| 1215122833 | Yama A Dehqanzada Dpm PC | Clinic/Center | 16770 Sw Edy Rd, Suite 216, Sherwood, OR 97140-9678 | 2007-09-06 |
| City | OREGON CITY |
| Zip Code | 97045 |
Please comment or provide details below to improve the information on OREGON CITY FOOT CLINIC, PC.
| 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.