ANKLE AND FOOT CLINIC OF OREGON (NPI# 1851557607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851557607 |
| Entity Type | Organization |
| Organization Name | ANKLE AND FOOT CLINIC OF OREGON |
| Practice Address |
5528 Se Powell Blvd Portland OR 97206-2956 |
| Practice Telephone | 5037773999 |
| Practice Fax Number | 5037772914 |
| Mailing Telephone | 5037773999 |
| Mailing Fax Number | 5037772914 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | DR. JERRY J YOON (PODIATRIST) |
| Authorized Official Telephone | 5037773999 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | JERRY J YOON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
DP00338 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 286958 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ANKLE AND FOOT CLINIC OF OREGON | 5528 Se Powell Blvd, Portland, OR 97206 |
| Street Address |
5528 SE POWELL BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-2956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871585802 | Jerry J Yoon | Podiatrist | 5528 Se Powell Blvd, Portland, OR 97206-2956 | 2005-08-16 |
| 1801310008 | Peterson Periodontics & Implantology LLC | Dentist | 5528 Se Powell Blvd, Portland, OR 97206-2956 | 2017-07-29 |
| 1114368354 | Quinn Robert Hummel | Dentist | 5528 Se Powell Blvd, Portland, OR 97206 | 2013-07-16 |
| 1174709448 | Dewey Dental, P.C. | Dentist | 5528 Se Powell Blvd, Portland, OR 97206-2956 | 2008-01-16 |
| 1467445387 | Wayne A Vetter | Podiatrist | 5528 Se Powell Blvd, Portland, OR 97206-2956 | 2005-08-25 |
| 1275526527 | Donald H Wheeler Dmd PC | Dentist | 5528 Se Powell Blvd, Portland, OR 97206-2956 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093993453 | Lyndon G Johansen Dpm PC | Clinic/Center | 12658 Se Stark St, Portland, OR 97233-1058 | 2008-02-07 |
| 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 |
| 1215122833 | Yama A Dehqanzada Dpm PC | Clinic/Center | 16770 Sw Edy Rd, Suite 216, Sherwood, OR 97140-9678 | 2007-09-06 |
| 1518945922 | Oregon City Foot Clinic, PC | Clinic/Center | 1510 Division St, Suite 80, Oregon City, OR 97045-1581 | 2006-01-05 |
Please comment or provide details below to improve the information on ANKLE AND FOOT CLINIC OF OREGON.
| 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.