Temitope Elizabeth Adebayo, DPM
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Portland, OR
NPI 1043079411 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1043079411
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1015 NW 22ND Ave
Portland, OR 97210-3025 - Phone
- (503) 413-8401
- Fax
- (503) 413-7361
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240521001244 | OR | Order and Referring Only - Podiatry |
4082056163 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1015 NW 22ND Ave
Portland, OR 97210-3025
Mailing address
5008 Tura St
Raleigh, NC 27610-7179
Phone (667) 214-5979
Other providers in Portland, OR
- Ofori Addo
- Daniel Addy
- Daniel Paul Addy
- Peter H Addy
- Ramata Kazadi Adebawo
- Adebimpe Adebowale
- Adedamola Adedokun
- Falasteen Adel
- Juli Adelman
- Sally Adelman
All providers in Portland, OR · Student in an Organized Health Care Education/Training Program in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.