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Organization
ANKLE AND FOOT CENTERS PC
Active
Organization
ANKLE AND FOOT CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN GARY TILLETT DPM (CEO)
(503) 246-2212
Entity
Organization
Contact information
Practice address
6274 SW CAPITOL HWY, PORTLAND, OR 97239-2674
(503) 246-2212
(503) 246-4050
Mailing address
6274 SW CAPITOL HWY, PORTLAND, OR 97239-2674
(503) 246-2212
(503) 246-4050
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00300
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227113
OMAP
OR
05
—
227113
—
OR
01
—
DG6557
RR MCR
—
Enumeration date
03/06/2007
Last updated
02/12/2020
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