Organization
NORTHWEST ORTHOTICS & PROSTHETICS INC
Active
Parent organization
HANGER CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER CLINIC
Authorized official
JENNIFER L SIMMONS (REGULATORY COMPLIANCE ANALYST III)
(206) 414-2907
Entity
Organization
Contact information
Practice address
1675 N FREEDOM BLVD STE 12C, PROVO, UT 84604-6940
(801) 377-3433
(801) 377-4127
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
D44206
UT
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820305315003
—
UT
Enumeration date
09/08/2005
Last updated
03/05/2026
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