PETERSON PERFORMANCE PRODUCTS INC NPI 1568758282

NPI Information

NPI: 1568758282
Provider Name: PETERSON PERFORMANCE PRODUCTS INC

Doing Business As: PETERSON'S ORTHOTIC LAB

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

Specialization: Customized Equipment

Address:
900 SE WILSON AVE
SUITE F
BEND, OR
ZIP 97702
Phone: (541) 647-1108
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PETERSON PERFORMANCE PRODUCTS INC is a customized equipment durable medical equipment medical supplies in Bend, OR. PETERSON PERFORMANCE PRODUCTS INC NPI is 1568758282. The provider is registered as an organization entity type.
The provider Is Doing Business As Peterson's Orthotic Lab.

The provider's business location address is:

900 SE WILSON AVE
SUITE F
BEND, OR
ZIP 97702-416
Phone: (541) 647-1108
Fax: (541) 647-2162

The provider's authorized official is Scott William Peterson .
The authorized official title is President and has the following contact phone number (541) 647-1108.

The enumeration date for this NPI number is 6/21/2011 and was last updated on 6/21/2011.

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	C15236	OREGON	Yes

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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