Organization
ORTHOPEDIC TECHNOLOGIES, INC.
Active
Other names
Mason Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA RAE MASON C.P. (OWNER / PROSTHETIST)
(503) 580-3251
Entity
Organization
Contact information
Practice address
2936 SUNBIRD DR., FAIRFIELD, CA 94533-1243
(541) 967-7100
(541) 967-7137
Mailing address
5551 ROARING RAPIDS WAY, MARYSVILLE, CA 95901
(541) 954-3676
(541) 967-7137
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182441
—
OR
Enumeration date
08/19/2006
Last updated
09/23/2016
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