person
Dr. Steven Gary Tillett, DPM
Foot Surgery Podiatrist in Portland, Oregon
NPI 1134102320

Steven Gary Tillett is a Foot Surgery Podiatrist based in Portland, OR and is specialized in Foot Surgery. Steven Gary Tillett practices in Portland, OR and has the professional credentials of DPM. The NPI Number for Steven Gary Tillett is 1134102320 and holds a License No. DP00300 (Oregon).

The current practice location address for Steven Gary Tillett is 6274 Sw Capitol Hwy, Portland, OR and can be reached out via phone at 503-246-2212.

Location: 6274 Sw Capitol Hwy, Portland, OR, 97239-2674
person
Provider Profile Details
NPI Number
1134102320
Provider Name
Steven Gary Tillett
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6274 Sw Capitol Hwy, Portland, OR, 97239-2674
Phone Number
503-246-2212
Fax Number
Provider Enumeration Date
11/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
831001001 01 BC
480031007 01 RR MEDICARE
227113 01 OR OMAP
227113 05 OR
institution
Provider Business Practice Location Address Details
Address
6274 Sw Capitol Hwy
City
State
Zip
97239-2674
Phone Number
503-246-2212
Fax Number
person
Provider Business Mailing Address Details
Address
6274 Sw Capitol Hwy
City
State
Zip
97239-2674
Phone Number
503-246-2212
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
DP00300 (Oregon)
Definition
Definition to come...
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