Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LAKE OSWEGO FOOT CLINIC
Active
Organization
LAKE OSWEGO FOOT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY J YOON DPM (PHYSICIAN/OWNER)
(503) 636-9656
Entity
Organization
Contact information
Practice address
4800 MEADOWS RD., STE 120, LAKE OSWEGO, OR 97035
(503) 636-9656
(503) 636-9657
Mailing address
4800 MEADOWS RD., STE 120, LAKE OSWEGO, OR 97035
(503) 636-9656
(503) 636-9657
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
DP00338
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286958
—
OR
Enumeration date
07/31/2008
Last updated
09/09/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up