Organization
OREGON ARTIFICIAL LIMB CO.
Active
Organization
OREGON ARTIFICIAL LIMB CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE F DAYBREAK (PRESIDENT)
(503) 231-4876
Entity
Organization
Contact information
Practice address
21 NE SEVENTH AVE., PORTLAND, OR 97232-2907
(503) 231-4876
(503) 232-0256
Mailing address
21 NE SEVENTH AVE., PORTLAND, OR 97232-2907
(503) 231-4876
(503) 232-0256
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145375
—
OR
Enumeration date
04/19/2006
Last updated
09/10/2012
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