Organization
PACIFIC MEDICAL, INC.
Active
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
1344 LIBERTY ST SE, SALEM, OR 97302-4283
(800) 726-9180
(800) 861-5950
Mailing address
FILE 1616, 1801 W OLYMPIC BLD, PASADENA, CA 91199-1166
(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
03/19/2014
Last updated
03/19/2014
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