Organization Active NPI

Oregon City Foot Clinic, PC

  • Podiatric Clinic/Center
  • Oregon City, OR
National Provider Identifier
1518945922
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
DP00269 Issued in OR
Legal business name
OREGON CITY FOOT CLINIC, PC
Practice address
1510 Division St
Suite 80
Oregon City, OR 97045-1581
Phone
(503) 655-0775
Fax
(503) 655-0751
NPI assigned
Jan 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia Eileen Cain, D.P.M.NPI 1518146984
Title
President
Phone
(503) 655-0775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X DP00269 OR Primary

Addresses

Primary practice location

1510 Division St
Suite 80
Oregon City, OR 97045-1581

Mailing address

1510 Division St
Suite 80
Oregon City, OR 97045-1581
Phone (503) 655-0775

Other identifiers 2

IdentifierTypeStateIssuer
158763MedicaidOR
3004485OtherORBLUECROSS BLUESHIELD HMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518945922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 DIVISION ST",
            "address_2": "SUITE 80",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451581",
            "telephone_number": "503-655-0775",
            "fax_number": "503-655-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 DIVISION ST",
            "address_2": "SUITE 80",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451581",
            "telephone_number": "503-655-0775",
            "fax_number": "503-655-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON CITY FOOT CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-655-0775",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "OR",
            "license": "DP00269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158763",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD HMO",
            "identifier": "3004485",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.