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ORTHOTIC PROSTHETIC ASSOCIATES, INC.

Suppliers Prosthetic/Orthotic Supplier

Provider NPI: 1023188778

Organization Information:
Organization Name:  ORTHOTIC PROSTHETIC ASSOCIATES, INC.
Organization is not Subpart
Authorized Official:  DAVE ALFRED JANKE  PRESIDENT  503-252-5100

Practice Location:
173 NE 102ND AVE  PORTLAND, OR 97220-4169 US
Tel: 503-252-5100  Fax: 503-253-8086

Business Mailing Address:
173 NE 102ND AVE  PORTLAND, OR 97220-4169 US
Tel: 503-252-5100  Fax: 503-253-8086

NPI Information:
NPI: 1023188778
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y335E00000XSuppliers
Prosthetic/Orthotic Supplier

Other Provider Identifiers:

IssuerNumberStateType
229262OR05



American Medical Association 2012 taxonomy code information

Code: 335E00000X

Type:

Classification:



Definition:



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