Summit Orthotics & Prosthetics

LBN: Willamette Orthotics & Prosthetics Llc
Summit Orthotics & Prosthetics is an health care organization with primary practice located at 2420 Grear St Ne , Salem OR 97301. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Willamette Orthotics & Prosthetics Llc can be contacted via phone (503) 364-6006, or through Nelson, Todd J via phone (503) 364-6006.

Contact Information

Primary practice address
2420 Grear St Ne Salem OR 97301
Phone: (503) 364-6006
Fax: (503) 364-6006
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Todd J CPO
Phone: (503) 364-6006

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1003955865
LBN Legal business name Willamette Orthotics & Prosthetics Llc
DBA Doing business as Summit Orthotics & Prosthetics
Authorized official Nelson, Todd J CPO
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Feb 21st, 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 1003955865 NPPES
Oregon MEDICAID 230560

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