IndividualActive
Amy Theppote, DPM
NPI 1578980694 · Foot & Ankle Surgery Podiatrist · Milwaukie, OR
Provider details
- NPI number
- 1578980694
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- License
- DP184377 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
6542 Se Lake Rd Ste 102
Milwaukie, OR 97222-2245
Phone: (503) 659-6686
Fax: (503) 905-6202
Street-level locationGet directions
Mailing address
6542 Se Lake Rd Ste 102
Portland, OR 97222-2245
Additional practice locations (2)
- 1015 Nw 22nd AvePortland, OR 97210-3025Phone: (503) 413-8401
- 5493 Amy StWest Linn, OR 97068-3320Phone: (503) 245-2420Fax: (503) 245-2445
Registry dates
- Enumerated
- 2014-03-26
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.