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Pedorthic Services, Inc.
Pedorthist in Portland, Oregon
NPI 1720351323

Pedorthic Services, Inc. is a Pedorthist based in Portland, OR. Pedorthic Services, Inc. practices in Portland, OR. The NPI Number for Pedorthic Services, Inc. is 1720351323 and holds a License No. NO LICENCSE REQUIRED (Oregon).

The current practice location address for Pedorthic Services, Inc. is 10240 Sw Nimbus Ave, Portland, OR and can be reached out via phone at 503-992-6366 and via fax at 503-524-8397.

Location: 10240 Sw Nimbus Ave, Portland, OR, 97223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720351323
Provider Name
Pedorthic Services, Inc.
Credential
Provider Entity Type
Organization
Address
10240 Sw Nimbus Ave, Portland, OR, 97223
Phone Number
503-992-6366
Fax Number
503-524-8397
Provider Enumeration Date
02/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10240 Sw Nimbus Ave
City
Portland
State
Oregon
Zip
97223
Phone Number
503-992-6366
Fax Number
503-524-8397
person
Provider Business Mailing Address Details
Address
10240 Sw Nimbus Ave
City
Portland
State
Oregon
Zip
97223
Phone Number
503-992-6366
Fax Number
503-524-8397
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
NO LICENCSE REQUIRED (Oregon)
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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