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Contact Information

KENNETH W HEGEWALD, DPM
17355 LOWER BOONES FERRY RD
STE 100A
PORTLAND, OR97035
 Phone: 503-224-8399
 Fax: 503-224-5661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KENNETH W HEGEWALD · (Male)

NPI Number 1427344563
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/28/2011
Last updated 08/22/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 0808
  • OR License # DP177024
  • WA License # PL60221075
Hospital affiliation(s)
  • LEGACY GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1015 NW 22ND AVENUE, W121
    PORTLAND, OR 97210
  • PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL - (Critical Access)
    810 12TH STREET
    HOOD RIVER, OR 97031
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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