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

Dr. Peter Duy Pham, DPM

Individual provider Podiatrist · NPI 1568877264

Dr. Peter Duy Pham, DPM is a Podiatry in Beaverton, Oregon. Qualified in 2014, 12 years ago. Practices with Northwest Extremity Specialists LLC, a 21-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2014
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

17200 NW Corridor Ct Ste 108
Beaverton, OR 97006-3295
Phone: (503) 292-9252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2222 Nw Lovejoy St Ste 510, Portland, OR 97210-5103 — (503) 245-2445
  • 12121 Richmond Ave, Houston, TX 77082-2432 — (281) 597-1630

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence T52-2014 (TX)

Record details

NPI number1568877264
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 23, 2014
Last updated in NPPESDecember 18, 2018
Mailing address9900 Sw Hall Blvd, Ste 100, Tigard, OR 97223-5838

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Northwest Extremity Specialists Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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