| Ankle And Foot Centers Pc | |
|
6274 Sw Capitol Hwy, Portland, OR 97239-2674 | |
| (503) 246-2212 | |
| (503) 246-4050 |
| Full Name | Ankle And Foot Centers Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 6274 Sw Capitol Hwy, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710017256 | NPI | - | NPPES |
| DG6557 | Other | RR MCR | |
| 227113 | Other | OR | OMAP |
| 227113 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | DP00300 (Oregon) | Primary |
| Provider Name | Steven G Tillett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134102320 PECOS PAC ID: 9537153614 Enrollment ID: I20100604000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Ankle And Foot Centers Pc 6274 Sw Capitol Hwy, Portland, OR 97239-2674 Ph: (503) 246-2212 | Ankle And Foot Centers Pc 6274 Sw Capitol Hwy, Portland, OR 97239-2674 Ph: (503) 246-2212 |
Barnes Foot And Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 9615 Nw Randall Ln, Portland, OR 97229 Phone: 503-297-2222 | |
Edward Theodore Ysunza Iv, Podiatrist Medicare: Medicare Enrolled Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Dr. Brian M. Bowen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1717 Ne 42nd Ave, Suite 3300, Portland, OR 97213 Phone: 503-284-2000 Fax: 503-284-2002 | |
Town Center Foot Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 8305 Se Monterey Ave Ste 101, Portland, OR 97266 Phone: 503-652-1121 Fax: 503-652-2193 | |
Ray A Mcclanahan, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 725 Nw 19th Ave, Portland, OR 97209 Phone: 503-243-2699 Fax: 503-243-2698 | |
Portland Foot And Ankle Institute, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12672 Nw Barnes Rd Ste 100, Portland, OR 97229 Phone: 503-336-0169 Fax: 503-352-4583 | |
Dr. Steven Gary Tillett, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6274 Sw Capitol Hwy, Portland, OR 97239 Phone: 503-246-2212 |