Paul Logan Williams, | |
11815 Sw King James Pl Ste 60, Tigard, OR 97224-2479 | |
(503) 639-8107 | |
Not Available |
Full Name | Paul Logan Williams |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 11815 Sw King James Pl Ste 60, Tigard, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477116820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | DP215948 (Oregon) | Primary |
Provider Name | Elite Foot & Ankle Associates, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700386992 PECOS PAC ID: 5799047783 Enrollment ID: O20180403002376 |
Mailing Address | Practice Location Address |
---|---|
Paul Logan Williams, 1306 Se Rio Dr, Ankeny, IA 50021-3846 Ph: (515) 868-2566 | Paul Logan Williams, 11815 Sw King James Pl Ste 60, Tigard, OR 97224-2479 Ph: (503) 639-8107 |
Mr. Stephen M Schroeder, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7300 Sw Childs Rd, #b, Tigard, OR 97224 Phone: 503-692-8700 Fax: 503-692-8710 | |
Larry D Jensen Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 11815 Sw King James Pl, Suite 60, Tigard, OR 97224 Phone: 503-639-8107 Fax: 503-639-8108 | |
Yama Ahmad Dehqanzada, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223 Phone: 503-245-2420 Fax: 503-245-2445 | |
Ejiro C Isiorho, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11515 Sw Durham Road, E1, Tigard, OR 97224 Phone: 503-624-0364 Fax: 503-684-3306 | |
Westside Podiatry Clinic Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9900 Sw Hall Blvd, Suit 100, Tigard, OR 97223 Phone: 503-245-2420 Fax: 503-245-2445 | |
Todd Galle, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Sw Hall Bvld, Suite 100, Tigard, OR 97223 Phone: 503-245-2420 Fax: 503-245-2445 |