1. Home
  2. Directory
  3. Oregon
  4. Gresham
  5. Podiatrist
  6. NPI Profile

GRESHAM PODIATRY CENTER, LLC
NPI 1891742318
Podiatrist - Foot & Ankle Surgery in Gresham, OR

Active since May 28, 2006
831 NW COUNCIL DR, SUITE #203, GRESHAM, OR 97030(503) 667-6600(503) 667-6608 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gresham Podiatry Center, Llc NPPES

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

GRESHAM PODIATRY CENTER, LLC (NPI 1891742318) is a healthcare organization registered as a foot & ankle surgery in Gresham, Oregon and active in the NPI registry since May 2006. The organization lists Derek John Mccammon, Owner, as its authorized official.

NPPES Registry Identity

NPI1891742318
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameGRESHAM PODIATRY CENTER, LLC
Location Address831 NW COUNCIL DR, SUITE #203Gresham, OR 97030-3721
Mailing Address831 Nw Council Dr, Suite #203Gresham, OR 97030-3721 · (503) 667-6600 · Fax (503) 667-6608
Phone(503) 667-6600
Fax(503) 667-6608
Organization SubpartNo
Authorized OfficialDerek John MccammonOwner · (503) 667-6600
Enumeration DateMay 28, 2006
Last NPPES UpdateApril 2, 2008
✔ NPI 1891742318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in OR · 307
831 NW COUNCIL DR, Gresham, OR 97030
Open in Google Maps ↗

Other Identifiers 4

Other1891742318OR · Group Npi
Medicare UPINU76208OR
Medicare NSC3897300001OR
Medicare ID-Type UnspecifiedR107949OR · Group Medicare Id Number

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 15

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

DR. MARY K BARNHART M.D.
Surgery
831 NW COUNCIL DR, SUITE 301
GRESHAM, OR 97030
Multnomah County (503) 661-9700
SVETLANA TAYCHER DO
Family Medicine
831 NW COUNCIL DR, SUITE 125
GRESHAM, OR 97030
Multnomah County (503) 661-3439
MARIA S KLING NP
Nurse Practitioner (Adult Health)
831 NW COUNCIL DR, SUITE 101
GRESHAM, OR 97030
Multnomah County (503) 665-8176
PAIN RELIEF SPECIALIST NORTHWEST PC
Pain Medicine (Interventional Pain Medicine)
831 NW COUNCIL DR, SUITE 300
GRESHAM, OR 97030
Multnomah County (503) 382-8100
MARYELLEN HIBBARD FNP
Nurse Practitioner (Family)
831 NW COUNCIL DR, SUITE 300
GRESHAM, OR 97030
Multnomah County (503) 408-4078
CRAIG STEPHEN DAVIS MD
Internal Medicine
831 NW COUNCIL DR, SUITE 101
GRESHAM, OR 97030
Multnomah County (503) 665-8176
ROSE CITY BREAST CARE, LLC
Surgery
831 NW COUNCIL DR, SUITE 301
GRESHAM, OR 97030
Multnomah County (503) 661-9700
MS. BARBARA THERESA TROXEL NP
Nurse Practitioner (Adult Health)
831 NW COUNCIL DR, SUITE 300
GRESHAM, OR 97030
Multnomah County (503) 382-8100

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 Gresham Podiatry Center, LLC's NPI number?

The NPI number for Gresham Podiatry Center, LLC is 1891742318. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is Gresham Podiatry Center, LLC located?

Gresham Podiatry Center, LLC is located at 831 NW Council Dr Suite #203, Gresham, OR 97030. The listed phone number is (503) 667-6600.

What is Gresham Podiatry Center, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Gresham Podiatry Center, LLC was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.