Organization
OREGON ORTHOTIC SERVICES, INC
Active
Organization
OREGON ORTHOTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLIE MAFFUCCI (LEAD OFFICE ADMINISTRATOR)
(503) 242-9136
Entity
Organization
Contact information
Practice address
2030 BLUE MESA CT, LOVELAND, CO 80538-4188
(970) 672-4937
(970) 672-2883
Mailing address
2030 BLUE MESA CT, LOVELAND, CO 80538-4188
(970) 672-4937
(970) 672-2883
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
20166000095
CO
335E00000X
Prosthetic/Orthotic Supplier
Primary
20166000095
CO
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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