| Eastside Foot And Ankle | |
|
1827 Ne 44th Ave Ste 100, Portland, OR 97213-1443 | |
| (503) 284-2000 | |
| (503) 284-2002 |
| Full Name | Eastside Foot And Ankle |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1827 Ne 44th Ave Ste 100, 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 |
|---|---|---|---|
| 1669884003 | NPI | - | NPPES |
| 500607151 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP00435 (Oregon) | Primary |
| Provider Name | Brian M Bowen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093921975 PECOS PAC ID: 3375698640 Enrollment ID: I20090910000247 |
| Provider Name | Timothy J Mineo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275730459 PECOS PAC ID: 1557487444 Enrollment ID: I20100928001644 |
| Provider Name | Sean H Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134692486 PECOS PAC ID: 1254736077 Enrollment ID: I20210817002763 |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Foot And Ankle 1827 Ne 44th Ave Ste 100, Portland, OR 97213-1443 Ph: (503) 284-2000 | Eastside Foot And Ankle 1827 Ne 44th Ave Ste 100, Portland, OR 97213-1443 Ph: (503) 284-2000 |
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 |