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Oregon Pedorthic Services
Prosthetic/Orthotic Supplier in Vancouver, Washington
NPI 1376546978

Oregon Pedorthic Services is a Prosthetic/Orthotic Supplier based in Gresham, WA. Oregon Pedorthic Services practices in Vancouver, WA. The NPI Number for Oregon Pedorthic Services is 1376546978 and holds a License No. (Washington).

The current practice location address for Oregon Pedorthic Services is 12214 Se Mill Plain Blvd, Vancouver, WA and can be reached out via phone at 360-885-1930 and via fax at 360-885-1930. You can also correspond with Oregon Pedorthic Services through the mailing address at PO BOX 608, GRESHAM, OR - 97030-0154 (mailing address contact number: 503-491-1723).

Location: 12214 Se Mill Plain Blvd, Vancouver, WA, 97030-0154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376546978
Provider Name
Oregon Pedorthic Services
Credential
Provider Entity Type
Organization
Address
12214 Se Mill Plain Blvd, Vancouver, WA, 97030-0154
Phone Number
360-885-1930
Fax Number
360-885-1930
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207923 05 OR
institution
Provider Business Practice Location Address Details
Address
12214 Se Mill Plain Blvd
City
Vancouver
State
Washington
Zip
98684-6019
Phone Number
360-885-1930
Fax Number
360-885-1930
person
Provider Business Mailing Address Details
Address
Po Box 608
City
Gresham
State
Oregon
Zip
97030-0154
Phone Number
503-491-1723
Fax Number
503-489-0706
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Oregon)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Oregon)
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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