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

Portland Foot and Ankle Institute, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1124507827

Portland Foot and Ankle Institute, LLC is a Foot & Ankle Surgery Podiatrist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
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

12672 NW Barnes Rd Ste 100
Portland, OR 97229-6191
Phone: (503) 336-0169
Fax: (503) 352-4583
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DP00371 (OR)

Record details

NPI number1124507827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gentile — President · (503) 536-3074
NPI enumeratedAugust 13, 2018
Last updated in NPPESJuly 30, 2019
Mailing address10690 Ne Cornell Rd Ste 212, Hillsboro, OR 97124-9224

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