Organization
SPECTRUM PROSTHETICS AND ORTHOTICS INC
Active
Organization
SPECTRUM PROSTHETICS AND ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FOREST RAY SEXTON CPO (PRESIDENT)
(541) 955-9678
Entity
Organization
Contact information
Practice address
300 UNION AVE, SUITE C, GRANTS PASS, OR 97527-5861
(541) 955-9678
(541) 471-4909
Mailing address
300 UNION AVE, SUITE C, GRANTS PASS, OR 97527-5861
(541) 955-9678
(541) 471-4909
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158752
—
OR
Enumeration date
11/06/2006
Last updated
07/14/2009
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