Priority Footwear & Pedorthic Services

LBN: Pacific Footwear Company Inc
Priority Footwear & Pedorthic Services is an health care organization with primary practice located at 10240 Sw Nimbus Ave Suite L1, Portland OR 97223. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Pacific Footwear Company Inc can be contacted via phone (503) 524-9656, or through Clarke, Kevin Weber via phone (503) 524-9656.

Contact Information

Primary practice address
10240 Sw Nimbus Ave Suite L1 Portland OR 97223
Phone: (503) 524-9656
Fax: (503) 524-8397
Website:
Map and Directions
Authorized official contact:
Name: Clarke, Kevin Weber
Phone: (503) 524-9656

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1558316851
LBN Legal business name Pacific Footwear Company Inc
DBA Doing business as Priority Footwear & Pedorthic Services
Authorized official Clarke, Kevin Weber
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Feb 16th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558316851 NPPES
Oregon MEDICAID 297988
Oregon MEDICAID 9054784
Oregon MEDICAID 806954600

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