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Center For Ocular Prosthetics Llc
Prosthetic/Orthotic Supplier in Portland, Oregon
NPI 1083994867

Center For Ocular Prosthetics Llc is a Prosthetic/Orthotic Supplier based in Portland, OR. Center For Ocular Prosthetics Llc practices in Portland, OR. The NPI Number for Center For Ocular Prosthetics Llc is 1083994867 and holds a License No. (Oregon).

The current practice location address for Center For Ocular Prosthetics Llc is 2456 Nw Northrup St Ste 1A, Portland, OR and can be reached out via phone at 503-229-8490 and via fax at 503-224-0740.

Location: 2456 Nw Northrup St Ste 1A, Portland, OR, 97210-3253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083994867
Provider Name
Center For Ocular Prosthetics Llc
Credential
Provider Entity Type
Organization
Address
2456 Nw Northrup St Ste 1A, Portland, OR, 97210-3253
Phone Number
503-229-8490
Fax Number
503-224-0740
Provider Enumeration Date
08/24/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01621900001 01 OR REGENCE BCBS DME SUPPLIER
01621900001 01 OR REGENCE BCBS
500647964 05 OR
01758092-1 01 OR OREGON BUSINESS IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
2456 Nw Northrup St Ste 1A
City
Portland
State
Oregon
Zip
97210-3253
Phone Number
503-229-8490
Fax Number
503-224-0740
person
Provider Business Mailing Address Details
Address
2456 Nw Northrup St Ste 1A
City
Portland
State
Oregon
Zip
97210-3253
Phone Number
503-229-8490
Fax Number
503-224-0740
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
156FX1700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
51680289 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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