- Practice location
- 4770 SW Watson Ave, Beaverton, OR 97005-0511
- Phone
- 503-427-8967
- Fax
- 971-223-0096
- Last updated
- October 18, 2023
Bridge City Foot & Ankle LLC is a healthcare organization based in Beaverton, OR. Bridge City Foot & Ankle LLC practices in Beaverton, OR. The NPI Number for Bridge City Foot & Ankle LLC is 1669074316. The current practice location address for Bridge City Foot & Ankle LLC is 4770 SW Watson Ave, Beaverton, OR 97005-0511 and can be reached out via phone at 503-427-8967 and via fax at 971-223-0096.
Provider Profile Details
- NPI Number
- 1669074316
- Provider Name
- Bridge City Foot & Ankle LLC
- Provider Entity Type
- Organization
- Address
- 4770 SW Watson Ave, Beaverton, OR 97005-0511
- Phone Number
- 503-427-8967
- Fax Number
- 971-223-0096
- Primary Taxonomy
- Podiatrist · 213E00000X
- Organization Subpart
- No
- Authorized Official
- Peter Stach, DPM · Owner/Podiatric Physician · 503-805-4720
- Provider Enumeration Date
- November 9, 2020
- Last Update Date
- October 18, 2023
- Certification Date
- October 18, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4770 SW Watson Ave
Beaverton, OR 97005-0511 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-0511
- Phone Number
- 503-427-8967
- Fax Number
- 971-223-0096
Provider Business Mailing Address Details
- Address
- 1720 SW Huntington Ave
Portland, OR 97225-4752 - City
- Portland
- State
- OR
- Zip
- 97225-4752
- Phone Number
- 503-805-4720
License Information
- Taxonomy
- Podiatrist · 213E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bridge City Foot & Ankle LLC?
The NPI number of Bridge City Foot & Ankle LLC is 1669074316. It was assigned on November 9, 2020 and is currently active in the NPPES registry.
What is the specialty of Bridge City Foot & Ankle LLC?
Bridge City Foot & Ankle LLC is registered under the primary taxonomy Podiatrist (code 213E00000X).
Where does Bridge City Foot & Ankle LLC practice?
The practice location is 4770 SW Watson Ave, Beaverton, OR 97005-0511. The office can be reached at 503-427-8967 (phone) or 971-223-0096 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669074316 directly on the NPPES registry website.