Dr. Steven Gary Tillett
Foot Surgery
6274 Sw Capitol Hwy
Portland
, Oregon 97239-2674
Dr. Steven Gary Tillett
Foot Surgery
6274 Sw Capitol Hwy
Portland
, Oregon 97239-2674
(503) 246-4050
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Steven Gary Tillett
- 6274 Sw Capitol Hwy
- Portland, OR
- Zip : 97239-2674
- Fax : (503) 246-4050
- Phone : (503) 246-2212
Second Address
- Dr. Steven Gary Tillett
- 6274 Sw Capitol Hwy
- Portland, OR
- Zip : 97239-2674
- Phone : (503) 246-2212
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | DP00300 | OR |
National Provider Identifier
| NPI | 1134102320 |
|---|---|
| Provider Name | Dr. Steven Gary Tillett |
| First Address | Portland, OR 97239-2674 |
| Second Address | Portland, OR 97239-2674 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2005 |
| Last Update Date | 12/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 227113 | (05) | OR |
| 227113 | OMAP (01) | OR |
| 480031007 | RR MEDICARE (01) | |
| 831001001 | BC (01) | |
| U71594 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.