Organization
PACIFIC FOOTWEAR COMPANY, INC.
Active
Other names
Priority Footwear & Pedorthic Services
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN W CLARKE (PRESIDENT)
(503) 524-9656
Entity
Organization
Contact information
Practice address
13660 N 94TH DR, SUITE F-2, PEORIA, AZ 85381-4836
(623) 302-9396
(623) 302-9397
Mailing address
10240 SW NIMBUS AVE, SUITE L1, PORTLAND, OR 97223-4358
(503) 524-9656
(503) 524-8397
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/24/2010
Last updated
04/22/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up