Organization
ORTHOTIC PROSTHETIC ASSOCIATES, INC.
Active
Organization
ORTHOTIC PROSTHETIC ASSOCIATES, INC.
Active
Other names
Columbia Prosthetics and Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE ALFRED JANKE C.P.O., C.PED. (PRESIDENT)
(503) 252-5100
Entity
Organization
Contact information
Practice address
173 NE 102ND AVE, PORTLAND, OR 97220-4169
(503) 252-5100
(503) 253-8086
Mailing address
173 NE 102ND AVE, PORTLAND, OR 97220-4169
(503) 252-5100
(503) 253-8086
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229262
—
OR
Enumeration date
11/09/2006
Last updated
05/22/2009
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