Bridge City Foot & Ankle LLC

NPI #1669074316 in Beaverton, Oregon

Provider Information

NPI Number: 1669074316
Entity Type: Organization
Organization Name: Bridge City Foot & Ankle LLC
Primary Specialty: Podiatrist
Enumeration Date: Nov 9, 2020
Last Updated: Oct 18, 2023

Practice Location

Address: 4770 SW WATSON AVE
City: Beaverton
State: Oregon
ZIP Code: 97005-0511
Phone: (503) 427-8967

Authorized Official

Name: PETER STACH, DPM
Title: OWNER/PODIATRIC PHYSICIAN
Phone: (503) 805-4720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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