NPI 1124507827

Portland Foot and Ankle Institute, LLC

Organisation Foot & Ankle Surgery Podiatrist Portland, OR

Practice location

Address: 12672 NW Barnes Rd STE 100, Portland, OR 97229-6191
Phone: (503) 336-0169
Fax: (503) 352-4583
Mailing address: 10690 NE Cornell Rd STE 212, Hillsboro, OR 97124-9224

Authorised official

Name: Michael Albert Gentile
Title: President
Phone: (503) 536-3074

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence DP00371 (OR)

Other Podiatrist providers in Oregon →

Registry record

NPI: 1124507827
Entity type: Organization
NPI issued: 13 Aug 2018
Record last updated: 30 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.