PORTLAND FOOT AND ANKLE INSTITUTE, LLC


Address: 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191
Phone: 5033360169

PORTLAND FOOT AND ANKLE INSTITUTE, LLC (NPI# 1124507827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124507827
Entity Type Organization
Organization Name PORTLAND FOOT AND ANKLE INSTITUTE, LLC
Practice Address 12672 Nw Barnes Rd Ste 100
Portland
OR 97229-6191
Mailing Address 10690 Ne Cornell Rd Ste 212
Hillsboro
OR 97124-9224
Practice Telephone 5033360169
Practice Fax Number 5033524583
Enumeration Date 2018-08-13
Last Update Date 2019-07-30
Authorized Official Name DR. MICHAEL ALBERT GENTILE (PRESIDENT)
Authorized Official Telephone 5035363074
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
DP00371 OR Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 12672 NW BARNES RD STE 100
City PORTLAND
State OR
Zip Code 97229-6191

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356305023 David N Westerdahl Family Medicine 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191 2006-04-12
1346863727 Sports Health Northwest Inc Family Medicine 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191 2020-05-20
1255547782 Maureen Shenker Physician Assistant 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191 2007-05-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851919906 Anjana Rajan Counselor Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 2020-07-06
1871138453 Kedrick Starr Case Manager/Care Coordinator 14600 Nw Cornell Rd., Portland, OR 97229 2019-11-07
1477102689 Raquel A Bishop Nurse Practitioner 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 2019-09-10
1669026134 Alexandra Elizabeth Lodwig Speech-Language Pathologist 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 2019-08-01
1003316043 Jenny Lavonne Thom Counselor 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 2018-02-16
1194230664 Ankita Guchait Case Manager/Care Coordinator 14600 Nw Cornell Rd, Portland, OR 97229 2017-12-06
1568988913 Hannah Hendrix Klingelheber Speech-Language Pathologist 15605 Nw Ryegrass St., Portland, OR 97229 2017-08-17
1548791213 Adeline Mitchell Registered Nurse 14600 Sw Cornell Rd., Portland, OR 97229 2017-03-24
1538610670 Crystal Graves Peer Specialist 14600 Nw Cornell, Portland, OR 97229 2016-10-24
1639533185 Evelin James Dental Hygienist 5879 Nw Lark Meadow Ter, Portland, OR 97229 2016-04-11
Find all providers in zip 97229

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386051803 Southwest Podiatry Center LLC Podiatrist 9370 Sw Greenburg Rd Ste 102, Portland, OR 97223-5428 2014-07-16
1386884237 Lopa Dalmia Podiatrist 12400 Nw Cornell Rd Ste 201, Portland, OR 97229-5689 2009-03-04
1679743876 Brandi S. Myers Dpm, LLC Podiatrist 7836 Se 13th Ave, Portland, OR 97202-6350 2008-03-04
1093921975 Brian M. Bowen Podiatrist 1717 Ne 42nd Ave, Suite 3300, Portland, OR 97213-1569 2007-05-15
1689700486 Brandi Sue Myers Podiatrist 5225 Se 28th Ave, Portland, OR 97202-4506 2007-02-26
1255440020 Gina M Bullock Podiatrist 3508 Ne Broadway St, Portland, OR 97232-1821 2006-08-29
1982647467 Thomas R Palmer Podiatrist 6108 Ne Glisan St, Portland, OR 97213-3864 2006-06-13
1962454934 Clifford Donald Mah Podiatrist 12400 Nw Cornell Rd, Suite 201, Portland, OR 97229-5693 2006-05-17
1538149471 Christopher Gerard Pingitore Podiatrist 51 Sewall St Ste 2, Portland, ME 04102-2644 2006-01-18
1194705038 John Henry Dorsey Jr. Podiatrist 195 Fore River Parkway, Suite 120, Portland, ME 04102 2006-01-18
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97229

Improve Information

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Dataset Information

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.

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