Oregon Institute Of Foot Care Llc | |
55 S State St Ste 3220, Lake Oswego, OR 97034-3975 | |
(503) 635-7742 | |
Not Available |
Full Name | Oregon Institute Of Foot Care Llc |
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Type | Facility |
Speciality | Podiatrist |
Location | 55 S State St Ste 3220, Lake Oswego, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1124783345 | NPI | - | NPPES |
Provider Name | Tyler Spalding Manson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1679833131 PECOS PAC ID: 2961711767 Enrollment ID: I20180606001380 |
Mailing Address | Practice Location Address |
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Oregon Institute Of Foot Care Llc 55 S State St Ste 3220, Lake Oswego, OR 97034-3975 Ph: (503) 635-7742 | Oregon Institute Of Foot Care Llc 55 S State St Ste 3220, Lake Oswego, OR 97034-3975 Ph: (503) 635-7742 |
Dr. Mark Thomas Hastings, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 16316 Bryant Rd, Lake Oswego, OR 97035 Phone: 503-699-8220 Fax: 503-699-7949 | |
Jon Todd Fitzgerald, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Ste C1, Lake Oswego, OR 97034 Phone: 503-636-9656 Fax: 503-636-9657 | |
Deniese Elaine Jensen Granville, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 55 S State St Ste 3220, Lake Oswego, OR 97034 Phone: 503-635-7742 Fax: 503-635-8495 | |
Dr. Viengkeo T Noimany, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 18231 Siena Dr, Lake Oswego, OR 97034 Phone: 503-702-3803 | |
Myles Knutson, Dpm, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 311 B Ave Ste B, Lake Oswego, OR 97034 Phone: 503-804-7579 Fax: 503-210-0364 | |
Jerry J Yoon, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4000 Kruse Way Pl Ste 220, Bldg 2, Lake Oswego, OR 97035 Phone: 503-636-9656 Fax: 503-636-9657 |