Organization
WILLAMETTE ORTHOTICS & PROSTHETICS LLC
Active
Other names
Summit Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(503) 364-6006
Entity
Organization
Contact information
Practice address
111 NW LARCH AVE STE 100, REDMOND, OR 97756-1992
(503) 923-2552
(503) 923-3224
Mailing address
PO BOX 7339, SALEM, OR 97303-0102
(503) 364-6006
(503) 364-6046
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
05/12/2026
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