Pro-Tech Sports Medicine, Inc. in Lake Oswego - Prosthetic/orthotic Supplier

Pro-Tech Sports Medicine, Inc. - NPI 1992721294

Pro-Tech Sports Medicine, Inc. is a Prosthetic/orthotic Supplier in Lake Oswego, Oregon. Pro-Tech Sports Medicine, Inc. practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Pro-Tech Sports Medicine, Inc. is 1992721294. The last update date is 2008-10-29.

Pro-Tech Sports Medicine, Inc.'s current location address is 16679 Boones Ferry Rd, Lake Oswego, Oregon. You can contact this provider via phone number 5036990045 and fax number 5036991911. The mailing address for Pro-Tech Sports Medicine, Inc. is 16679 Boones Ferry Rd, Lake Oswego, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pro-Tech Sports Medicine, Inc.
Address 16679 Boones Ferry Rd, Lake Oswego, Oregon
Phone Number 5036990045
Fax Number 5036991911
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Gregory John
Credentials C.O.
Telephone Number 5036990045

NPI Number Detail

NPI Number 1992721294
Provider Enumeration Date 2006-07-14
Last Updated Date 2008-10-29

Provider Mailing Address Detail

Address 16679 Boones Ferry Rd
City Lake Oswego
State Oregon (OR)
Post Code 970354365
Phone Number 5036990045
Fax Number 5036991911

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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
35985 OR --
81911000 OR BLUE CROSS PROVIDER #

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FAQs about Pro-Tech Sports Medicine, Inc.

What is the unique 10-digit identifier code assigned to Pro-Tech Sports Medicine, Inc. by the Centers for Medicare & Medicaid Services?

The Pro-Tech Sports Medicine, Inc. has been issued the NPI (National Provider Identifier) 1992721294 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Pro-Tech Sports Medicine, Inc. is physically located?

The Pro-Tech Sports Medicine, Inc. is physically situated at the following address: 16679 Boones Ferry Rd, Lake Oswego, OR, 970354365.

What is Pro-Tech Sports Medicine, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Pro-Tech Sports Medicine, Inc. is Prosthetic/orthotic Supplier, and the corresponding taxonomy classification code for this specialized field is 335E00000X.

On what date did the Pro-Tech Sports Medicine, Inc. receive its 1992721294 assignment from the Centers for Medicare & Medicaid Services?

The Pro-Tech Sports Medicine, Inc. was assigned its 1992721294 by the Centers for Medicare & Medicaid Services on 2006-07-14.

When was the information regarding Pro-Tech Sports Medicine, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Pro-Tech Sports Medicine, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-10-29.

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