OrganizationActive
Portland Foot and Ankle Institute, LLC
NPI 1124507827 · Foot & Ankle Surgery Podiatrist · Portland, OR
Provider details
- NPI number
- 1124507827
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Michael Gentile, President(503) 536-3074
- License
- DP00371 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12672 Nw Barnes Rd Ste 100
Portland, OR 97229-6191
Phone: (503) 336-0169
Fax: (503) 352-4583
Street-level locationGet directions
Mailing address
10690 Ne Cornell Rd Ste 212
Hillsboro, OR 97124-9224
Registry dates
- Enumerated
- 2018-08-13
- Last updated
- 2019-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.