Eastside Foot And Ankle

LBN: Eastside Foot And Ankle
Eastside Foot And Ankle is an health care organization with primary practice located at 1827 Ne 44Th Ave Ste 100 , Portland OR 97213-1443. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Eastside Foot And Ankle can be contacted via phone (503) 284-2000, or through Bowen, Brian via phone (503) 284-2000.

Contact Information

Primary practice address
1827 Ne 44Th Ave Ste 100 Portland OR 97213-1443
Phone: (503) 284-2000
Fax: (503) 284-2002
Website:
Map and Directions
Authorized official contact:
Name: Bowen, Brian Doctor of Podiatric Medicine (DPM)
Phone: (503) 284-2000

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DP00435 Oregon

Profile Details

NPI number 1669884003
LBN Legal business name Eastside Foot And Ankle
DBA Doing business as
Authorized official Bowen, Brian Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2014
Last updated Dec 13th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669884003 NPPES
Oregon MEDICAID 500607151

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