Organization
PORTLAND FOOT AND ANKLE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALBERT GENTILE DPM (PRESIDENT)
(503) 536-3074
Entity
Organization
Contact information
Practice address
12672 NW BARNES RD STE 100, PORTLAND, OR 97229-6191
(503) 336-0169
(503) 352-4583
Mailing address
10690 NE CORNELL RD STE 212, HILLSBORO, OR 97124-9224
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00371
OR
Other
Enumeration date
08/13/2018
Last updated
07/30/2019
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