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

Peter Stach, DPM

Individual provider Podiatrist · NPI 1366965675

Peter Stach, DPM is a Podiatry in Beaverton, Oregon. Graduated from Western Un of Hlth Sciences, Col of Podiatric Med in 2017, 9 years ago. Practices with Bridge City Foot and Ankle LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
9
Trained at
Western Un of Hlth Sciences, Col of Podiatric Med
Licensed in
OR
In the registry since
2017
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

4770 SW Watson Ave
Beaverton, OR 97005-0511
Phone: (503) 805-4720
Fax: (971) 223-0969
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence DP198085 (OR)

Record details

NPI number1366965675
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 18, 2017
Last updated in NPPESJune 27, 2022
Certification dateNovember 5, 2020
Mailing address4770 Sw Watson Ave, Beaverton, OR 97005-0511

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolWESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated 2017 (9 years in practice)
Group practice Bridge City Foot And Ankle Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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