Portage Podiatry
Portage Podiatry is a Podiatrist in Portage, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.
- Licensed in
- PA
- In the registry since
- 2008
Practice location Address checks out
713 Mountain Ave Ste 1Portage, PA 15946-1756
Phone: (814) 736-5000
Fax: (814) 736-9616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence SC004705L (PA) |
|---|
Record details
| NPI number | 1659559599 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Regina Goughnour — Office Manager · (814) 736-5000 |
| NPI enumerated | February 1, 2008 |
| Last updated in NPPES | July 6, 2026 |
| Certification date | July 6, 2026 |
| Mailing address | 713 Mountain Ave Ste 1, Portage, PA 15946-1756 |
Other providers in Portage
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Dr. Dale M Goughnour, DPM
713 Mountain Ave Ste 1, Portage, PA 15946-1756 · (814) 736-5000