ORTHOTIC PROSTHETIC ASSOCIATES INC (NPI# 1275667701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275667701 |
| Entity Type | Organization |
| Organization Name | ORTHOTIC PROSTHETIC ASSOCIATES INC |
| Other Organization Name | COLUMBIA ORTHOPEDIC |
| Practice Address |
173a Ne 102nd Ave Portland OR 97220-4176 |
| Practice Telephone | 5032525100 |
| Practice Fax Number | 5032538086 |
| Mailing Telephone | 5032525100 |
| Mailing Fax Number | 5032538086 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVE A JANKE (CERTIFIED PROSTHETIST ORTHOTIST) |
| Authorized Official Telephone | 5032525100 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
NONE | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 229263 | 05 |
| Other Name | Type Code |
|---|---|
| COLUMBIA ORTHOPEDIC | Doing Business As Name - Organization |
| Street Address |
173A NE 102ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467967372 | Samuel J Higdon Dds PC | Durable Medical Equipment & Medical Supplies | 2250 Nw Flanders St Ste 111, Portland, OR 97210-5409 | 2017-12-14 |
| 1740654466 | Boundless Assistive Technology, LLC | Durable Medical Equipment & Medical Supplies | 7490 Sw Bridgeport Rd, Portland, OR 97224 | 2015-11-18 |
| 1275912578 | Oregon Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 8301 Se 13th Ave, Portland, OR 97202-7101 | 2015-05-20 |
| 1740612753 | Marilyn Hayward | Durable Medical Equipment & Medical Supplies | 2025 Se Hawthorne Blvd, Portland, OR 97214-3819 | 2013-07-31 |
| 1174868970 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 1915 Ne 7th Ave, Portland, OR 97212-3906 | 2012-12-05 |
| 1831496611 | Scooters America LLC | Durable Medical Equipment & Medical Supplies | 7525 Ne Ambassador Pl Ste B, Portland, OR 97220-6808 | 2011-02-14 |
| 1598908360 | Medius Medical Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 111 Sw 5th Ave, Suite 1100, Portland, OR 97204-3604 | 2009-04-09 |
| 1376713339 | Kinaesthetics, Inc. | Durable Medical Equipment & Medical Supplies | 7725 W Stark St, Portland, OR 97229-6718 | 2008-03-06 |
| 1538348693 | Hand Therapy Specialists, Inc | Durable Medical Equipment & Medical Supplies | 300 Se 80th Ave, Portland, OR 97215-1526 | 2007-10-25 |
| 1063572881 | Oregon Pedorthic Services, Inc. | Durable Medical Equipment & Medical Supplies | 9900 Se Washington St, Mall 205, Ste C-36, Portland, OR 97216-2422 | 2006-12-11 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.