| Myles Knutson, Dpm, Llc | |
|
311 B Ave Ste B, Lake Oswego, OR 97034-3071 | |
| (503) 804-7579 | |
| (503) 210-0364 |
| Full Name | Myles Knutson, Dpm, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 311 B Ave Ste B, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356010573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Myles Knutson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801266861 PECOS PAC ID: 1153659834 Enrollment ID: I20200427000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Myles Knutson, Dpm, Llc 311 B Ave Ste S, Lake Oswego, OR 97034-3071 Ph: (035) 804-7579 | Myles Knutson, Dpm, Llc 311 B Ave Ste B, Lake Oswego, OR 97034-3071 Ph: (503) 804-7579 |
Dr. Mark Thomas Hastings, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 16316 Bryant Rd, Lake Oswego, OR 97035 Phone: 503-699-8220 Fax: 503-699-7949 | |
Oregon Institute Of Foot Care Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 55 S State St Ste 3220, Lake Oswego, OR 97034 Phone: 503-635-7742 | |
Jon Todd Fitzgerald, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Ste C1, Lake Oswego, OR 97034 Phone: 503-636-9656 Fax: 503-636-9657 | |
Deniese Elaine Jensen Granville, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 55 S State St Ste 3220, Lake Oswego, OR 97034 Phone: 503-635-7742 Fax: 503-635-8495 | |
Dr. Viengkeo T Noimany, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 18231 Siena Dr, Lake Oswego, OR 97034 Phone: 503-702-3803 | |
Jerry J Yoon, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4000 Kruse Way Pl Ste 220, Bldg 2, Lake Oswego, OR 97035 Phone: 503-636-9656 Fax: 503-636-9657 |