ORTHOTIC PROSTHETIC ASSOCIATES INC NPI 1275667701

NPI Information

NPI: 1275667701
Provider Name: ORTHOTIC PROSTHETIC ASSOCIATES INC

Doing Business As: COLUMBIA ORTHOPEDIC

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
173A NE 102ND AVE
PORTLAND, OR
ZIP 97220
Phone: (503) 252-5100
Get Directions

ORTHOTIC PROSTHETIC ASSOCIATES INC is a customized equipment durable medical equipment medical supplies in Portland, OR. ORTHOTIC PROSTHETIC ASSOCIATES INC NPI is 1275667701. The provider is registered as an organization entity type.
The provider Is Doing Business As Columbia Orthopedic.

The provider's business location address is:

173A NE 102ND AVE
PORTLAND, OR
ZIP 97220-176
Phone: (503) 252-5100
Fax: (503) 253-8086

The provider's authorized official is Dave A Janke .
The authorized official title is Certified Prosthetist Orthotist and has the following contact phone number (503) 252-5100.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.

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
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	NONE	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	229263	MEDICAID	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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