Organization
ORTHOPEDIC TOE GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT THOMAS GALVIN (CEO)
(503) 368-8637
Entity
Organization
Contact information
Practice address
611 OCEAN AVE., PO BOX100, MANZANITA, OR 97130-0100
(503) 368-8637
Mailing address
611 OCEAN AVE # 100, MANZANITA, OR 97130-9060
(503) 368-8637
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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