Organization
ORTHOTIC PROSTHETIC ASSOCIATES INC
Active
Other names
COLUMBIA ORTHOPEDIC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE A JANKE CPO (CERTIFIED PROSTHETIST ORTHOTIST)
(503) 252-5100
Entity
Organization
Contact information
Practice address
173A NE 102ND AVE, PORTLAND, OR 97220-4176
(503) 252-5100
(503) 253-8086
Mailing address
173A NE 102ND AVE, PORTLAND, OR 97220-4176
(503) 252-5100
(503) 253-8086
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
NONE
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229263
—
OR
Enumeration date
03/15/2007
Last updated
08/22/2020
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