PACIFIC MEDICAL, INC. (NPI# 1487960621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487960621 |
| Entity Type | Organization |
| Organization Name | PACIFIC MEDICAL, INC. |
| Other Organization Name | PACIFIC MEDICAL PROSTHETICS & ORTHOTICS |
| Practice Address |
413 Nw Larch Ave Ste 103 Redmond OR 97756-1361 |
| Mailing Address |
File 1616 1801 W Olympic Blvd Pasadena CA 91199-1616 |
| Practice Telephone | 5415489980 |
| Practice Fax Number | 5415489985 |
| Mailing Telephone | 8007269180 |
| Mailing Fax Number | 8008615950 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2015-02-04 |
| Authorized Official Name | MARK WEAVER (GENERAL COUNSEL) |
| Authorized Official Telephone | 80072698180 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Pacific Medical Prosthetics & Orthotics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346735933 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 1024 W Robinhood Dr Ste 2, Stockton, CA 95207-5644 | 2018-06-26 |
| 1548784036 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 901 N Curtis Rd Ste 101, Boise, ID 83706-1339 | 2017-07-27 |
| 1336678879 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 309 W Main St Ste 104, Visalia, CA 93291-6257 | 2017-06-08 |
| 1952718280 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2529 152nd Ave Ne, Redmond, WA 98052-5550 | 2014-07-18 |
| 1275940553 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 87 Centennial Loop, Eugene, OR 97401-7907 | 2014-07-17 |
| 1730596016 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 123 W Nye Ln Ste 131, Carson City, NV 89706-0838 | 2014-07-17 |
| 1740697242 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9 Soledad Dr, Ste D, Monterey, CA 93940-6036 | 2014-07-16 |
| 1558778068 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4554 Broad St, Ste 110, San Luis Obispo, CA 93401-8712 | 2014-07-16 |
| 1275940785 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2030 Alameda Padre Serra, Ste 123, Santa Barbara, CA 93103-1704 | 2014-07-16 |
| 1649687138 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 3300 Providence Dr Ste B112, Anchorage, AK 99508-4690 | 2014-07-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PACIFIC MEDICAL, INC | 1700 N Chrisman Rd, Tracy, CA 95304-9314 |
| Oregon Corporations, Companies and Business Names | PACIFIC MEDICAL, INC. | 1700 N Chrisman Rd, Tracy, CA 95304 |
| Washington State Corporations | PACIFIC MEDICAL, INC. | 1700 N Chrisman Rd, Tracy, CA 95304 |
| Street Address |
413 NW LARCH AVE STE 103 |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013992072 | Karen Jean Walz | Physical Therapist | 413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1361 | 2005-12-13 |
| 1497104145 | Emily Dutton | Physical Therapist | 413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1396 | 2016-06-03 |
| 1912304528 | Burrus Dentistry PC | Dentist | 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 | 2014-11-25 |
| 1770919730 | Stephanie Michelle O'neill | Dental Hygienist | 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 | 2013-09-23 |
| 1881986859 | David Mosher Burrus | Dentist | 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 | 2011-05-10 |
| 1922315043 | Therapeutic Associates, Inc | Occupational Therapist | 413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1361 | 2010-09-10 |
| 1649583428 | Elise Burrus | Dentist | 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 | 2010-07-21 |
| 1073833448 | Debbie Rief Fnp LLC | Nurse Practitioner | 413 Nw Larch Ave, #203, Redmond, OR 97756-1361 | 2010-06-08 |
| 1952632507 | David Joseph Sullivan | Dentist | 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 | 2010-01-21 |
| 1033313697 | Amy J Houchens | Physical Therapist | 413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1361 | 2007-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821286501 | Willamette Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 333 Nw Larch Ave Ste 1, Redmond, OR 97756-1359 | 2007-10-09 |
| 1538462957 | Larscorp LLC | Prosthetic/Orthotic Supplier | 735 Sw 11th St Ste 103, Redmond, OR 97756-2660 | 2010-12-07 |
| 1164610846 | Foot Fitness | Prosthetic/Orthotic Supplier | 258 Sw 5th St Ste 2, Redmond, OR 97756-2150 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500705 | Synergy Medical Systems, LLC | Prosthetic/Orthotic Supplier | 19365 Sw 65th Ave Ste 210, Tualatin, OR 97062-9196 | 2020-08-28 |
| 1881007607 | Shannon Levin | Prosthetic/Orthotic Supplier | 441 Union St Ne, Salem, OR 97301-2458 | 2014-06-09 |
| 1174892640 | Cognitive Harmonics, Inc | Prosthetic/Orthotic Supplier | 2104 Hill Way, Medford, OR 97504-6208 | 2011-12-29 |
| 1841581717 | Pacific Footwear Company Inc | Prosthetic/Orthotic Supplier | 1150 Knutson Ave, Suite 12, Medford, OR 97504-3100 | 2011-04-27 |
| 1417257742 | A Step Forward LLC | Prosthetic/Orthotic Supplier | 744 Hawthorne Ave Ne, Salem, OR 97301-4675 | 2010-11-03 |
| 1467783761 | Elliott Pedorthic Care LLC | Prosthetic/Orthotic Supplier | 85084 Kensington Dr, Pleasant Hill, OR 97455-9621 | 2010-01-26 |
| 1780836049 | Angel Hair Foundation Inc | Prosthetic/Orthotic Supplier | 2783 Suncrest Ave, Eugene, OR 97405-5923 | 2008-10-17 |
| 1295986065 | Mirage Hair Systems, Inc. | Prosthetic/Orthotic Supplier | Suite 210 Oakway Ctr, Suite 210, Eugene, OR 97401-5618 | 2008-10-09 |
| 1457517138 | Genesis Medical Group, LLC. | Prosthetic/Orthotic Supplier | 16679 Boones Ferry Rd Ste 215, Lake Oswego, OR 97035-4368 | 2008-08-01 |
| 1518148105 | Paradox Walkfit Inc. | Prosthetic/Orthotic Supplier | 15532 Sw Pacific Hwy, Suite C1a, Tigard, OR 97224-3598 | 2007-11-24 |
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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.