Organization Active NPI

Myles Knutson, DPM, LLC

  • Foot & Ankle Surgery Podiatrist
  • Lake Oswego, OR
National Provider Identifier
1356010573
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MYLES KNUTSON, DPM, LLC
Practice address
311 B Ave Ste B
Lake Oswego, OR 97034-3071
Phone
(503) 804-7579
Fax
(503) 210-0364
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Myles Knutson, DPMNPI 1801266861
Title
Owner
Phone
(503) 635-7742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

311 B Ave Ste B
Lake Oswego, OR 97034-3071

Mailing address

311 B Ave Ste S
Lake Oswego, OR 97034-3071
Phone (035) 804-7579

National Provider Directory

National Provider Directory

Locations

55 S State St
Ste 3220
Lake Oswego, OR 97034
Phone (503) 635-7742

311 B Ave
Ste B
Lake Oswego, OR 97034
Phone (503) 804-7579

12400 NW Cornell Rd
Portland, OR 97229
Phone (503) 626-0939

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1356010573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 B AVE STE S",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343071",
            "telephone_number": "035-804-7579",
            "fax_number": "503-210-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 B AVE STE B",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343071",
            "telephone_number": "503-804-7579",
            "fax_number": "503-210-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLES KNUTSON, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "MYLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-635-7742",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.