Organization
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST, LLC
Active
Parent organization
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST, LLC
Authorized official
CLINT HASTINGS L/CPO (MANAGER)
(509) 252-3373
Entity
Organization
Contact information
Practice address
911 W 5TH AVE, SPOKANE, WA 99204-2901
(509) 252-3373
(509) 744-1229
Mailing address
PO BOX 947109, ATLANTA, GA 30394-7109
(813) 367-2876
(813) 518-7659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
04/23/2025
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