OREGON INSTITUTE OF FOOT CARE LLC
NPI 1124783345
Podiatrist in Lake Oswego, OR

Active since November 02, 2021
55 S STATE ST STE 3220, LAKE OSWEGO, OR 97034(503) 635-7742 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Oregon Institute Of Foot Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OREGON INSTITUTE OF FOOT CARE LLC (NPI 1124783345) is a healthcare organization registered as a podiatrist in Lake Oswego, Oregon and active in the NPI registry since November 2021. The organization lists Tyler Manson, Podiatric Physician, as its authorized official.

NPPES Registry Identity

NPI1124783345
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameOREGON INSTITUTE OF FOOT CARE LLC
Location Address55 S STATE ST STE 3220Lake Oswego, OR 97034-3975
Mailing Address55 S State St Ste 3220Lake Oswego, OR 97034-3975 · (503) 635-7742
Organization SubpartNo
Authorized OfficialTyler MansonPodiatric Physician · (503) 635-7742
Enumeration DateNovember 2, 2021
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedNovember 16, 2021
✔ NPI 1124783345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X
Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X
Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
55 S STATE ST STE 3220, Lake Oswego, OR 97034

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oregon Institute Of Foot Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Oregon Institute Of Foot Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1679833131
55 S STATE ST STE 3220
Lake Oswego, OR 97034
(503) 635-7742
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oregon Institute Of Foot Care LLC's NPI number?

The NPI number for Oregon Institute Of Foot Care LLC is 1124783345. It was assigned to this organization in the NPPES registry on November 2, 2021.

Where is Oregon Institute Of Foot Care LLC located?

Oregon Institute Of Foot Care LLC is located at 55 S State St Ste 3220, Lake Oswego, OR 97034. The listed phone number is (503) 635-7742.

What is Oregon Institute Of Foot Care LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Oregon Institute Of Foot Care LLC enrolled in Medicare?

Yes. Oregon Institute Of Foot Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oregon Institute Of Foot Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Oregon Institute Of Foot Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Oregon Institute Of Foot Care LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Oregon Institute Of Foot Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oregon Institute Of Foot Care LLC was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.