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WESTSIDE PODIATRY CLINIC LLC
NPI 1427164516
Podiatrist in Tigard, OR

Active since August 22, 2006
9900 SW HALL BLVD, SUIT 100, TIGARD, OR 97223(503) 245-2420(503) 245-2445 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Westside Podiatry Clinic Llc NPPES

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

WESTSIDE PODIATRY CLINIC LLC (NPI 1427164516) is a healthcare organization registered as a podiatrist in Tigard, Oregon and active in the NPI registry since August 2006. The organization lists Jason R Surratt, Owner, as its authorized official.

NPPES Registry Identity

NPI1427164516
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameWESTSIDE PODIATRY CLINIC LLC
Location Address9900 SW HALL BLVD, SUIT 100Tigard, OR 97223
Mailing Address9900 Sw Hall Blvd, Suit 100Tigard, OR 97223 · (503) 245-2420 · Fax (503) 245-2445
Phone(503) 245-2420
Fax(503) 245-2445
Organization SubpartNo
Authorized OfficialJason R SurrattOwner · (503) 245-2420
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 21, 2010
✔ NPI 1427164516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
9900 SW HALL BLVD, Tigard, OR 97223
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Other Identifiers 2

Medicare ID-Type Unspecified117798
Medicare NSC5016770001OR

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YAMA AHMAD DEHQANZADA D.P.M.
Podiatrist (Foot & Ankle Surgery)
9900 SW HALL BLVD, SUITE 100
TIGARD, OR 97223
Washington County (503) 245-2420
DR. MILTON LOUIS BLETTEL MD
Internal Medicine
9900 SW HALL BLVD, #200
TIGARD, OR 97223
Washington County (503) 293-1515
OREGON MEDICAL EVALUATIONS, INC.
Case Management
9900 SW HALL BLVD
PORTLAND, OR 97223
Washington County (503) 684-3988
ADVANTAGE MEDICAL GROUP LLP
Internal Medicine
9900 SW HALL BLVD, #200
TIGARD, OR 97223
Washington County (503) 293-1515
JASON RAY SURRATT DPM
Podiatrist
9900 SW HALL BLVD, SUITE 100
TIGARD, OR 97223
Washington County (503) 245-2420
DR. DANIEL KEITH MANGUM DO
Internal Medicine
9900 SW HALL BLVD, #200
TIGARD, OR 97223
Washington County (503) 293-1515

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 Westside Podiatry Clinic LLC's NPI number?

The NPI number for Westside Podiatry Clinic LLC is 1427164516. It was assigned to this organization in the NPPES registry on August 22, 2006.

Where is Westside Podiatry Clinic LLC located?

Westside Podiatry Clinic LLC is located at 9900 SW Hall Blvd Suit 100, Tigard, OR 97223. The listed phone number is (503) 245-2420.

What is Westside Podiatry Clinic LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Westside Podiatry Clinic LLC was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.