Organization
SPECTRUM PROSTHETICS AND ORTHOTICS, LLC
Active
Parent organization
ORTHO DEV AMERICA CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO DEV AMERICA CORP
Authorized official
IVAN SABEL (CEO)
(541) 734-2435
Entity
Organization
Contact information
Practice address
300 UNION AVE STE C, GRANTS PASS, OR 97527-5861
(541) 955-9678
(541) 471-4909
Mailing address
300 UNION AVE, SUITE C, GRANTS PASS, OR 97527-5861
(541) 955-9678
(541) 471-4909
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
NA
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500637334
—
OR
Enumeration date
04/04/2007
Last updated
05/13/2026
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