Individual
TROY WAYNE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5050 NE HOYT ST STE 223, PORTLAND, OR 97213-2980
(503) 963-2964
(503) 963-2966
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00356
OR
213E00000X
Podiatrist
PO00000767
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241290
—
OR
05
—
8480519
—
WA
Enumeration date
11/15/2006
Last updated
11/24/2025
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