| Bridge City Foot & Ankle Llc | |
|
4770 Sw Watson Ave, Beaverton, OR 97005-0511 | |
| (503) 427-8967 | |
| (971) 223-0096 |
| Full Name | Bridge City Foot & Ankle Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 4770 Sw Watson Ave, Beaverton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669074316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Peter Stach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366965675 PECOS PAC ID: 4486066677 Enrollment ID: I20201211001597 |
| Provider Name | Tyson Marquis Schmidthuber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053830463 PECOS PAC ID: 9234558370 Enrollment ID: I20220711000843 |
| Provider Name | Michael James Weindorf |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356838825 PECOS PAC ID: 8820345978 Enrollment ID: I20221229000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge City Foot & Ankle Llc 1720 Sw Huntington Ave, Portland, OR 97225-4752 Ph: (503) 805-4720 | Bridge City Foot & Ankle Llc 4770 Sw Watson Ave, Beaverton, OR 97005-0511 Ph: (503) 427-8967 |
Peter Stach, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4770 Sw Watson Ave, Beaverton, OR 97005 Phone: 503-805-4720 Fax: 971-223-0969 | |
Dr. Peter Duy Pham, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17200 Nw Corridor Ct Ste 108, Beaverton, OR 97006 Phone: 503-292-9252 | |
Kenneth K.s. Mah, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 14355 Sw Allen Blvd, Suite 120, Beaverton, OR 97005 Phone: 503-643-1737 Fax: 503-643-4926 | |
Brian Guy Orahood, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 17200 Nw Corridor Ct Ste 108, Beaverton, OR 97006 Phone: 503-292-9252 Fax: 503-992-6780 | |
Dr. Candace Lynn Gregory, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 14795 Sw Murray Scholls Dr Ste 121, Beaverton, OR 97007 Phone: 503-597-5647 Fax: 503-597-5640 | |
Oregon Foot And Ankle Specialists, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17200 Nw Corridor Ct Ste 108, Beaverton, OR 97006 Phone: 503-292-9252 Fax: 503-992-6780 |