Organization
CENTER FOR PROSTHETICS ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE IGNACIO CPO (OWNER)
(206) 328-4276
Entity
Organization
Contact information
Practice address
12911 120TH AVE NE STE E60, C/O EVERGREEN PROFESSIONAL PLAZA, KIRKLAND, WA 98034-3047
(425) 821-4276
(425) 821-4277
Mailing address
411 12TH AVE, SEATTLE, WA 98122-5577
(206) 328-4276
(206) 328-1037
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PS00000002
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9015561
—
WA
Enumeration date
08/07/2007
Last updated
12/22/2010
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