Organization
ARTISAN ORTHOTIC PROSTHETIC TECHNOLOGIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN FRANK KEELE CPO (OWNER)
(541) 525-4282
Entity
Organization
Contact information
Practice address
3500 CHAD DR STE 120, EUGENE, OR 97408-7426
(877) 353-0545
Mailing address
3500 CHAD DR STE 120, EUGENE, OR 97408-7602
(541) 391-7307
(541) 391-7308
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300571301
REGENCE BC BS
OR
Enumeration date
08/30/2006
Last updated
01/23/2025
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