Organization
PACIFIC MEDICAL, INC.
Active
Other names
Pacific Medical Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WEAVER (GENERAL COUNSEL/C.L.O.)
(800) 723-9180
Entity
Organization
Contact information
Practice address
2594 E BARNETT RD STE A, MEDFORD, OR 97504-4341
(541) 608-2478
(541) 608-2487
Mailing address
FILE 1616, 1801 W OLYMPIC BLVD, PASADENA, CA 91199-1616
(800) 726-9180
(800) 861-5950
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/19/2010
Last updated
03/17/2021
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