Organization
WILLAMETTE ORTHOTICS & PROSTHETICS LLC
Active
Organization
WILLAMETTE ORTHOTICS & PROSTHETICS LLC
Active
Other names
Summit Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(503) 364-6006
Entity
Organization
Contact information
Practice address
2420 GREAR ST NE, SALEM, OR 97301
(503) 364-6006
(503) 364-6006
Mailing address
PO BOX 7339, SALEM, OR 97303-0102
(503) 364-6006
(503) 364-6046
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230560
—
OR
Enumeration date
02/06/2007
Last updated
05/12/2026
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