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Organization

SPECTRUM PROSTHETICS AND ORTHOTICS, LLC

Active
Parent organization
ORTHO DEV AMERICA CORPT
Other names
SPECTRUM ORTHOTICS & PROSTHETICS
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHO DEV AMERICA CORPT
Authorized official
IVAN SABEL (CEO)
(541) 734-2435
Entity
Organization

Contact information

Practice address
2504 NW MEDICAL PARK DR, ROSEBURG, OR 97471-5510
(541) 673-1275
(541) 471-4909
Mailing address
300 UNION AVE STE C, GRANTS PASS, OR 97527-5861
(541) 955-9678
(541) 471-4909

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
05/09/2007
Last updated
05/13/2026
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