Gresham Podiatry Center, Llc - Podiatrist in Gresham, OR

Gresham Podiatry Center, Llc is a Podiatrist - Foot & Ankle Surgery based in Gresham, Oregon. Gresham Podiatry Center, Llc is licensed to practice in Oregon (license number 307) and their current practice location is 831 Nw Council Dr, Suite #203, Gresham, Oregon. It can be reached at their office (for appointments etc.) via phone at (503) 667-6600.

NPI number for Gresham Podiatry Center, Llc is 1891742318 and their current mailing address is 831 Nw Council Dr, Suite #203, Gresham, Oregon. Gresham Podiatry Center, Llc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1891742318.

Contact Information

Gresham Podiatry Center, Llc
831 Nw Council Dr, Suite #203,
Gresham, OR 97030-3721
(503) 667-6600
(503) 667-6608



Healthcare Provider's Profile

Full NameGresham Podiatry Center, Llc
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location831 Nw Council Dr, Gresham, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891742318
  • Provider Enumeration Date: 05/28/2006
  • Last Update Date: 04/02/2008

Medical Identifiers

Medical identifiers for Gresham Podiatry Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891742318NPI-NPPES
1891742318OtherORGROUP NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 307 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gresham Podiatry Center, Llc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gresham Podiatry Center, Llc
831 Nw Council Dr, Suite #203,
Gresham, OR 97030-3721

Ph: (503) 667-6600
Gresham Podiatry Center, Llc
831 Nw Council Dr, Suite #203,
Gresham, OR 97030-3721

Ph: (503) 667-6600

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Podiatrist in Gresham, OR

Sean H Lee, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 24076 Se Stark St Ste 320, Gresham, OR 97030
Phone: 503-395-2504    
Dr. Timothy James Mineo, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 24076 Se Stark St, Suite 110, Gresham, OR 97030
Phone: 503-661-5388    
Dr. Marshal Terrance Kennedy, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2775 Se Powell Valley Rd, Gresham, OR 97080
Phone: 503-667-7789    Fax: 503-667-2032
Dr. Derek J Mccammon, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 24076 Se Stark St Ste 110, Gresham, OR 97030
Phone: 503-661-5388    Fax: 503-666-9393
Dr. Grayden Woodruff King, D.P.M
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 831 Nw Council Dr, Ste 203, Gresham, OR 97030
Phone: 503-667-6600    Fax: 503-667-6608
Jamie Mieras, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 25050 Se Stark St, Ste 265, Gresham, OR 97030
Phone: 503-413-2005    Fax: 503-413-3699

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