Organization
WILLAMETTE ORTHOTICS & PROSTHETICS LLC
Active
Parent organization
WILLAMETTE ORTHOTICS & PROSTHETICS LLC
Other names
SUMMIT ORTHOTICS AND PROSTHETICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLAMETTE ORTHOTICS & PROSTHETICS LLC
Authorized official
IVAN SABEL (CEO)
(503) 364-6006
Entity
Organization
Contact information
Practice address
19767 SW 72ND AVE STE 102, TUALATIN, OR 97062-8354
(503) 364-6006
(503) 364-6046
Mailing address
PO BOX 7339, SALEM, OR 97303-0102
(503) 364-6006
(503) 364-6046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
05/12/2026
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