WESTSIDE PODIATRY CLINIC LLC – Podiatrist, NPI 1427164516

WESTSIDE PODIATRY CLINIC LLC is a healthcare provider. based in Tigard, Oregon. specializing in Podiatrist. The NPI Number for WESTSIDE PODIATRY CLINIC LLC is 1427164516

Main info

Organization
Name
WESTSIDE PODIATRY CLINIC LLC
NPI
1427164516
Phone
(503) 245-2420
Address
9900 SW HALL BLVD
Authorized Official
DR. JASON R SURRATT OWNER DPM
Enumeration Date
22 August 2006
Last Update Date
21 July 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for WESTSIDE PODIATRY CLINIC LLC

  • Legacy Laboratory Services, 9900, Southwest Hall Boulevard, Metzger, Tigard, Washington County, Oregon, 97223, United States

    SUIT 100

    TIGARD, OR 97223

    Phone: (503) 245-2420

    Fax: (503) 245-2445

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97223)

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Reviews

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Frequently asked questions

What unique ID ties claims to WESTSIDE PODIATRY CLINIC LLC?
NPI 1427164516 is assigned to WESTSIDE PODIATRY CLINIC LLC under the national enumeration system.
Is WESTSIDE PODIATRY CLINIC LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is WESTSIDE PODIATRY CLINIC LLC?
The page reflects Podiatrist for WESTSIDE PODIATRY CLINIC LLC. Clinical services aligned with this taxonomy classification.
Where does public data place WESTSIDE PODIATRY CLINIC LLC?
The snapshot lists Tigard, Oregon for WESTSIDE PODIATRY CLINIC LLC; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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