Organization
PACIFIC MEDICAL, INC.
Active
Other names
PACIFIC MEDICAL PROSTHETICS & ORTHOTICS
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WEAVER JD (GENERAL COUNSEL)
(800) 726-9180
Entity
Organization
Contact information
Practice address
2311 NW NORTHRUP ST, STE 101, PORTLAND, OR 97210-2994
(503) 227-1636
(503) 227-3048
Mailing address
1700 N CHRISMAN RD, TRACY, CA 95304-9314
(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
07/17/2014
Last updated
09/30/2015
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