Organization
OREGON PEDORTHIC SERVICES
Active
Other names
Archfitters
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODRICK FORD STOCKWELL (OFFICE MANAGER)
(503) 491-1723
Entity
Organization
Contact information
Practice address
12214 SE MILL PLAIN BLVD, STE 102, VANCOUVER, WA 98684-6019
(360) 885-1930
(360) 885-1930
Mailing address
PO BOX 608, GRESHAM, OR 97030-0154
(503) 491-1723
(503) 489-0706
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OR
335E00000X
Prosthetic/Orthotic Supplier
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207923
—
OR
Enumeration date
05/27/2005
Last updated
09/11/2025
Update your record
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