Organization
PACIFIC O&P LLC
Active
Organization
PACIFIC O&P LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO NISENBAUM (OWNER)
(800) 251-0096
Entity
Organization
Contact information
Practice address
1050 SW 6TH AVE STE 1100, PORTLAND, OR 97204-1153
(800) 251-0096
Mailing address
1050 SW 6TH AVE STE 1100, PORTLAND, OR 97204-1153
(800) 251-0096
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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