MEDICARE: WILLAMETTE FOOT CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730797762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLAMETTE FOOT CENTER INC

Provider Business Mailing Address
First Line	:	4305 RIVER RD N
Second Line	:
City	:	KEIZER
State	:	OR
Zip	:	97303-5506
Country	:	US
Telephone Number	:	503-363-0763
Fax Number	:	503-363-8154

Provider Business Practice Location Address
First Line	:	4305 RIVER RD N
Second Line	:
City	:	KEIZER
State	:	OR
Zip	:	97303-5506
Country	:	US
Telephone Number	:	503-363-0763
Fax Number	:	503-363-8154

Authorized Official
Title or Position	:	PODIATRIST
Name	:	DR. ROBERT C STEVENS
Credential	:	DPM
Telephone Number	:	503-363-0763

Provider Enumeration Date	:	07/15/2020
Last Update Date	:	07/28/2020

Similar Medicare Providers

1114927910 — ROBERT STEVENS D.P.M.
Practice Location Address:

4305 RIVER RD N
KEIZER, OR
97303-5506

Practice Phone: 503-363-0763
Practice Fax: 503-363-8154

1215424361 — JESSIKA MARY BERG (VORDERSTRASSE)
Practice Location Address:

4305 RIVER RD N
KEIZER, OR
97303-5506

Practice Phone: 971-304-7245
Practice Fax:

1730011644 — DEBORAH MUNNAH JONES-NAH PMHNP
Practice Location Address:

4966 DELIGHT ST N APT 4
KEIZER, OR
97303-5455

Practice Phone: 763-923-3876
Practice Fax:

1184557597 — DR. GINO AKIO APARICIO DMD
Practice Location Address:

590 DEARBORN AVE NE
KEIZER, OR
97303-4552

Practice Phone: 503-393-2696
Practice Fax:

1649273004 — KEIZER RURAL FIRE PROTECTION DIST
Practice Location Address:

661 CHEMAWA RD NE
KEIZER, OR
97303-4436

Practice Phone: 503-390-9111
Practice Fax: 503-390-8299

1114924933 — TIMOTHY R. HARBOLT, DMD
Practice Location Address:

4734 RIVER RD N
KEIZER, OR
97303-4536

Practice Phone: 503-463-4663
Practice Fax: 503-463-4666

Directions to “WILLAMETTE FOOT CENTER INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.