Eastside Foot and Ankle
NPI 1669884003 · Foot & Ankle Surgery Podiatrist · Portland, OR
Enrolled with Medicare as Dme Supplier - Physician - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastside Foot and Ankle is a Foot & Ankle Surgery Podiatrist organization in Portland, OR (NPI 1669884003).
Provider details
- NPI number
- 1669884003
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Brian Bowen, Podiatrist/Owner(503) 284-2000
- License
- DP00435 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
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
Mailing address
Additional practice locations (2)
- 24076 Se Stark St Ste 320Gresham, OR 97030-3386Phone: (503) 284-2000
- 12672 Nw Barnes Rd Ste 100Portland, OR 97229-6191Phone: (503) 284-2000
Registry dates
- Enumerated
- 2014-05-20
- Last updated
- 2021-12-13
- Certified
- 2021-12-13
Frequently asked questions
- What is Eastside Foot and Ankle's NPI number?
- Eastside Foot and Ankle's National Provider Identifier (NPI) is 1669884003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastside Foot and Ankle?
- Eastside Foot and Ankle is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Eastside Foot and Ankle located?
- Eastside Foot and Ankle's practice location on file with NPPES is 1827 Ne 44th Ave Ste 100, Portland, OR 97213-1443.
- What is Eastside Foot and Ankle's phone number?
- The practice phone number listed in the NPPES registry for Eastside Foot and Ankle is (503) 284-2000.
- Does Eastside Foot and Ankle accept Medicare?
- Eastside Foot and Ankle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eastside Foot and Ankle?
- The authorized official listed on Eastside Foot and Ankle's NPPES record is Brian Bowen, Podiatrist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastside Foot and Ankle's NPI active?
- Yes — Eastside Foot and Ankle's NPI (1669884003) is active in the NPPES registry as of the last update on 2021-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.