Justin Alan Tidwell, DPM
Justin Alan Tidwell, DPM is a Podiatry in Portland, Oregon. Qualified in 2003, 23 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.
- Years since qualifying
- 23
- Licensed in
- OR, WA
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
501 N Graham St Ste 415Portland, OR 97227-1654
Phone: (503) 413-2005
Fax: (503) 413-3699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence DP00373 (OR) |
|---|---|
| Foot & Ankle Surgery Podiatrist | Taxonomy 213ES0103X · Licence PO00000806 (WA) |
Record details
| NPI number | 1710908892 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | Yes |
| NPI enumerated | July 22, 2006 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Legacy Clinics Llc — 718 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Portland
-
Dr. Jared Keith Remmers, DPM
2800 N Vancouver Ave Ste 130, Portland, OR 97227-1630 · (503) 413-2005
-
Dr. Andrew Bryant Shinabarger, DPM
2800 N Vancouver Ave Ste #130, Portland, OR 97227-1630 · (503) 413-2005
-
Southwest Podiatry Center LLC
9370 SW Greenburg Rd Ste 102, Portland, OR 97223-5428 · (503) 245-2417
-
Thomas R. Palmer DPM LLC
6108 NE Glisan St, Portland, OR 97213-3864 · (503) 255-8100
-
Edward Theodore Ysunza IV
3710 SW US Veterans Hospital Rd, Portland, OR 97239-2964 · (503) 220-8262