Organization
HANGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY RAE GROPPUSO (ORTHOTIST/PROSTHETIST)
(360) 423-6049
Entity
Organization
Contact information
Practice address
1516 HUDSON ST, SUITE 105, LONGVIEW, WA 98632-3083
(360) 423-6049
(360) 425-3690
Mailing address
1516 HUDSON ST, SUITE 105, LONGVIEW, WA 98632-3083
(360) 423-6049
(360) 425-3690
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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