Justin Alan Tidwell
DPM | Podiatrist - Foot & Ankle Surgery | 22+ years Exp
Medicare Enrolled
501 N Graham St, Suite 415, Portland
Oregon, 97227-1654
503-413-2005 503-413-3699
Maps & DirectionsJustin Alan Tidwell is a Portland, Oregon based podiatrist with 22 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation in 2003. He is also affiliated with hospitals like Legacy Emanuel Medical Center and Legacy Good Samaritan Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Justin Alan Tidwell for Podiatric Foot & Ankle Surgery is DP00373 in Oregon.
Justin Alan Tidwell provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Justin Alan Tidwell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatric Foot & Ankle Surgery |
| Credentials: | DPM |
| Experience: | 22+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2003 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 501 N Graham St, Suite 415, Portland, Oregon, 97227-1654 |
| Phone: | 503-413-2005 |
| Fax: | 503-413-3699 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0042244725 |
| Enrollment ID: | I20070206000698 |
| NPI Number: | 1710908892 |
| NPI Enumeration Date: | 22 Jul, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Justin Alan Tidwell are as mentioned below.
| License Number | Specialization | State | Status | |
| DP00373 | Podiatric Foot & Ankle Surgery | Oregon | Primary | |
| PO00000806 | Podiatric Foot & Ankle Surgery | Washington | Secondary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Legacy Emanuel Medical Center (380007) | Portland, OR | Acute Care Hospital |
| Legacy Good Samaritan Medical Center (380017) | Portland, OR | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Justin Alan Tidwell is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Legacy Clinics Llc (0244144004) | 590 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5815 Ne 23rd Ave, Portland, Oregon |
| Zip: | 97211-5447 |
| Phone Number: | 503-936-7454 |
| Fax Number: | -- |
Patients can reach Justin Alan Tidwell at
501 N Graham St, Suite 415, Portland, Oregon or can
call to book an appointment on 503-413-2005.
Comments/ Reviews:
Patients can read all the reviews posted for Justin Alan Tidwell below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Justin Alan Tidwell. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.