WILLAMETTE ORTHOTICS & PROSTHETICS LLC NPI 1124726815

NPI Information

  • NPI: 1124726815
  • Provider Name: WILLAMETTE ORTHOTICS & PROSTHETICS LLC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 19767 SW 72ND AVE STE 102
    TUALATIN, OR
    ZIP 97062
  • Phone: (503) 364-6006

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NPI Details

WILLAMETTE ORTHOTICS & PROSTHETICS LLC is a prosthetic orthotic supplier in Tualatin, OR. The provider is 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. WILLAMETTE ORTHOTICS & PROSTHETICS LLC NPI is 1124726815. The provider is registered as an organization entity type.

The provider's business location address is:

19767 SW 72ND AVE STE 102
TUALATIN, OR
ZIP 97062-354
Phone: (503) 364-6006
Fax: (503) 364-6046

The provider's authorized official is Todd Nelson .
The authorized official title is Senior Vice President and has the following contact phone number (503) 364-6006.

The enumeration date for this NPI number is 2/21/2023 and was last updated on 2/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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