Oregon Pedorthic Services in Gresham - Prosthetic/orthotic Supplier
Oregon Pedorthic Services - NPI 1376546978
Oregon Pedorthic Services is a Prosthetic/orthotic Supplier in Gresham, Oregon. Oregon Pedorthic Services practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Oregon Pedorthic Services is 1376546978. The last update date is 2022-07-21.
Oregon Pedorthic Services's current location address is Po Box 608, Gresham, Oregon. You can contact this provider via phone number 5034911723 and fax number 5034890706. The mailing address for Oregon Pedorthic Services is Po Box 608, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oregon Pedorthic Services |
|---|---|
| Address | Po Box 608, Gresham, Oregon |
| Phone Number | 5034911723 |
| Fax Number | 5034890706 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Stockwell Ford Rodrick |
| Telephone Number | 5034911723 |
NPI Number Detail
| NPI Number | 1376546978 |
|---|---|
| Provider Enumeration Date | 2005-05-27 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | Po Box 608 |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 9703001540 |
| Phone Number | 5034911723 |
| Fax Number | 5034890706 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
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 f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 207923 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Oregon Pedorthic Services?
The Oregon Pedorthic Services has been issued the NPI (National Provider Identifier) 1376546978 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Oregon Pedorthic Services is geographically located?
The Oregon Pedorthic Services is physically situated at the following location: Po Box 608, Gresham, OR, 9703001540.
What is the Oregon Pedorthic Services's specialty and taxonomy code?
The Oregon Pedorthic Services's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
On what date was the 1376546978 assigned to Oregon Pedorthic Services?
The Oregon Pedorthic Services was issued its 1376546978 on 2005-05-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Oregon Pedorthic Services last refreshed?
The information related to the Oregon Pedorthic Services, including its address, specialty, and other relevant details, was last updated on 2022-07-21.