Organization
OREGON BRACING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PHILLIPS (OPERATIONS MANAGER)
(503) 740-7052
Entity
Organization
Contact information
Practice address
9570 SW BARBUR BLVD, SUITE 214, PORTLAND, OR 97219-5412
(503) 719-5585
Mailing address
PO BOX 2068, ORTING, WA 98360-2068
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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