Organization
COLUMBIA BASIN PROSTHETICS & ORTHOTICS, INC
Active
Parent organization
COLUMBIA BASIN PROSTHETICS & ORTHOTICS, INC
Other names
Prosthetic & Orthotic Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBIA BASIN PROSTHETICS & ORTHOTICS, INC
Authorized official
MR. STEVE L KIMBALL RPOA (PRESIDENT)
(509) 525-8322
Entity
Organization
Contact information
Practice address
919 W MAIN ST, WALLA WALLA, WA 99362-2746
(509) 525-8322
(509) 525-2982
Mailing address
PO BOX 662, WALLA WALLA, WA 99362-0016
(509) 525-8322
(509) 525-2982
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500619060
—
OR
05
—
9035353
—
WA
Enumeration date
09/09/2009
Last updated
04/06/2010
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