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SPECTRUM ORTHOTICS & PROSTHETICS INC NPI 1942235445


NPI Information

NPI: 1942235445
Provider Name: SPECTRUM ORTHOTICS & PROSTHETICS INC

Other Name: SPECTRUM ORTHOTICS & PROSTHETICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
3541 E BARNETT RD
SUITE A
MEDFORD, OR
ZIP 97504
Phone: (541) 734-2435
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SPECTRUM ORTHOTICS & PROSTHETICS INC is a prosthetic orthotic supplier in Medford, 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. SPECTRUM ORTHOTICS & PROSTHETICS INC NPI is 1942235445. The provider is registered as an organization entity type.
The provider Other Name Is Spectrum Orthotics & Prosthetics.

The provider's business location address is:

3541 E BARNETT RD
SUITE A
MEDFORD, OR
ZIP 97504
Phone: (541) 734-2435
Fax: (541) 734-4366

The provider's authorized official is Forest Sexton .
The authorized official title is Director and has the following contact phone number (541) 734-2435.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 11/15/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2335E00000XProsthetic/Orthotic SupplierYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1070263MEDICAIDOREGON
2GXC00520OTHERCALIFORNIAMEDICAL
3058433000OTHEROREGONBLUE CROSS BLUE SHIELD

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

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