Simmons, Troy Wayne
Simmons, Troy Wayne is an individual health care provider with primary practice located at 5050 Ne Hoyt St Suite 428, Portland OR 97213-2991. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Simmons, Troy Wayne can be contacted via phone (503) 963-2964.Contact Information
Primary practice address
5050 Ne Hoyt St Suite 428
Portland OR 97213-2991
Phone: (503) 963-2964
Fax: (503) 963-2966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO00000767 | Washington |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DP00356 | Oregon |
Profile Details
| NPI number | 1396817201 |
|---|---|
| LBN Legal business name | Simmons, Troy Wayne |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Nov 10th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396817201 | NPPES |
| Oregon | MEDICAID | 241290 | |
| Oregon | MEDICAID | 8480519 |
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