| Dr Grayden Woodruff King, DPM | |
|
831 Nw Council Dr, Ste 203, Gresham, OR 97030-3721 | |
| (503) 667-6600 | |
| (503) 667-6608 |
| Full Name | Dr Grayden Woodruff King |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 20 Years |
| Location | 831 Nw Council Dr, Gresham, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851587364 | NPI | - | NPPES |
| R141926 | Other | OR | MEDICARE PTAN |
| 377694002 | Medicaid | TX | |
| 377694001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP 00436 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Preferred Podiatry Group Pc | 3971412677 | 119 |
| Provider Name | Preferred Podiatry Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720037138 PECOS PAC ID: 3971412677 Enrollment ID: O20100601000697 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Grayden Woodruff King, DPM 831 Nw Council Dr, Ste 203, Gresham, OR 97030-3721 Ph: (503) 667-6600 | Dr Grayden Woodruff King, DPM 831 Nw Council Dr, Ste 203, Gresham, OR 97030-3721 Ph: (503) 667-6600 |
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 | |
Jamie Mieras, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 25050 Se Stark St, Ste 265, Gresham, OR 97030 Phone: 503-413-2005 Fax: 503-413-3699 | |
Gresham Podiatry Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr, Suite #203, Gresham, OR 97030 Phone: 503-667-6600 Fax: 503-667-6608 |