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Organization

FOOT FITNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD J NELSON CPO (VP)
(503) 364-6006
Entity
Organization

Contact information

Practice address
258 SW 5TH ST STE 2, REDMOND, OR 97756-2150
(541) 923-2552
(541) 923-3224
Mailing address
PO BOX 7339, SALEM, OR 97303-0102
(503) 364-6006
(503) 364-6046

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
10/09/2007
Last updated
10/09/2007
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