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Pacific Footwear Company Inc
Prosthetic/Orthotic Supplier in Medford, Oregon
NPI 1841581717

Pacific Footwear Company Inc is a Prosthetic/Orthotic Supplier based in Portland, OR. Pacific Footwear Company Inc practices in Medford, OR. The NPI Number for Pacific Footwear Company Inc is 1841581717 and holds a License No. (Oregon).

The current practice location address for Pacific Footwear Company Inc is 1150 Knutson Ave, Medford, OR and can be reached out via phone at 547-608-7400 and via fax at 541-608-7600.

Location: 1150 Knutson Ave, Medford, OR, 97223-4358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841581717
Provider Name
Pacific Footwear Company Inc
Credential
Provider Entity Type
Organization
Address
1150 Knutson Ave, Medford, OR, 97223-4358
Phone Number
547-608-7400
Fax Number
541-608-7600
Provider Enumeration Date
04/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
297988 05 OR
institution
Provider Business Practice Location Address Details
Address
1150 Knutson Ave
City
Medford
State
Oregon
Zip
97504-3100
Phone Number
547-608-7400
Fax Number
541-608-7600
person
Provider Business Mailing Address Details
Address
1150 Knutson Ave
City
Medford
State
Oregon
Zip
97504-3100
Phone Number
547-608-7400
Fax Number
541-608-7600
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
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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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