Active NPI
Magnus Schlyer, DPM
- Podiatrist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DP224988
- Practice address
- 12400 NW Cornell Rd
Portland, OR 97229-5693 - Phone
- (503) 643-1737
- NPI assigned
- May 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PG211302 | OR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Podiatrist | 213E00000X | DP224988 | OR | Primary |
Addresses
Primary practice location
12400 NW Cornell Rd
Portland, OR 97229-5693
Mailing address
9115 SW Oleson Rd Ste 205
Portland, OR 97223-6877
Phone (503) 245-2420
Other practice location 1
3333 Green Bay Rd
North Chicago, IL 60064-3037
Phone (847) 578-3000
Other practice location 2
1015 NW 22nd Ave
Portland, OR 97210-3025
Phone (503) 418-8401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12400 NW Cornell Rd
Suite 201
Portland, OR 97229-5689
Phone (503) 643-1737
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 27 |
| Removal of nail tissue | 24 |
| Removal or shaving of skin growth | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP224988 | OR | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Extremity Specialists LLC | Current | Accepting new patients | |
| Northwest Extremity Specialists LLC | Podiatrist | Current | Accepting new patients |
Locations
6542 SE Lake Rd
Ste 102
Portland, OR 97222
Phone (503) 659-6686
5050 NE Hoyt St
Ste 411
Portland, OR 97213
Phone (503) 239-4324
12400 NW Cornell Rd
Portland, OR 97229
Phone (503) 626-0939
12400 NW Cornell Rd
Ste 201
Portland, OR 97229
Phone (503) 643-1737
9115 SW Oleson Rd
Ste 205
Tigard, OR 97223
Phone (503) 243-5710
29756 SW Town Center Loop W
Ste H
Wilsonville, OR 97070
Phone (503) 682-6035
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JHAGCA/Endpoint/JHAGCA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Portland, OR
- NPI 1295126241
-
- Podiatric Clinic/Center
- Wilsonville, OR
- NPI 1346973039
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1023684271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9115 SW OLESON RD STE 205",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972236877",
"telephone_number": "503-245-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 NW CORNELL RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295693",
"telephone_number": "503-643-1737"
}
],
"practiceLocations": [
{
"address_1": "3333 Green Bay Rd",
"address_purpose": "LOCATION",
"city": "North Chicago",
"state": "IL",
"postal_code": "600643037",
"country_code": "US",
"telephone_number": "847-578-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1015 NW 22nd Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972103025",
"country_code": "US",
"telephone_number": "503-418-8401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHLYER",
"first_name": "MAGNUS",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-28",
"last_updated": "2025-07-11",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": "PG211302",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OR",
"license": "DP224988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.