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Organization
PINNACLE ORTHOTICS, LLC
Active
Organization
PINNACLE ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRED NATHANIAL GIBSON MS, ATC, C.PED (OWNER)
(541) 654-9447
Entity
Organization
Contact information
Practice address
1310 COBURG RD STE 7, EUGENE, OR 97401-5200
(541) 654-9447
(541) 972-2018
Mailing address
1310 COBURG RD STE 7, EUGENE, OR 97401-5200
(541) 654-9447
(541) 972-2018
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
—
—
2255A2300X
Athletic Trainer
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
08/23/2018
Last updated
11/07/2019
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