OrganizationActive
Bridge City Foot & Ankle LLC
NPI 1669074316 · Podiatrist · Beaverton, OR
Provider details
- NPI number
- 1669074316
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Peter Stach, Owner/Podiatric Physician(503) 805-4720
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
4770 Sw Watson Ave
Beaverton, OR 97005-0511
Phone: (503) 427-8967
Fax: (971) 223-0096
Approximate (ZIP-level) locationGet directions
Mailing address
1720 Sw Huntington Ave
Portland, OR 97225-4752
Registry dates
- Enumerated
- 2020-11-09
- Last updated
- 2023-10-18
- Certified
- 2023-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.