Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bridge City Foot & Ankle LLC

Organization Podiatrist · NPI 1669074316

Bridge City Foot & Ankle LLC is a Podiatrist in Beaverton, Oregon. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4770 SW Watson Ave
Beaverton, OR 97005-0511
Phone: (503) 427-8967
Fax: (971) 223-0096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X

Record details

NPI number1669074316
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Stach — Owner/Podiatric Physician · (503) 805-4720
NPI enumeratedNovember 9, 2020
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address1720 Sw Huntington Ave, Portland, OR 97225-4752

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