Organization
SPECTRUM ORTHOTICS & PROSTHETICS INC
Active
Organization
SPECTRUM ORTHOTICS & PROSTHETICS INC
Active
Parent organization
ORTHO DEV AMERICA CORP.
Other names
SPECTRUM ORTHOTICS & PROSTHETICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO DEV AMERICA CORP.
Authorized official
IVAN SABEL (CEO)
(541) 734-2435
Entity
Organization
Contact information
Practice address
3541 E BARNETT RD, SUITE A, MEDFORD, OR 97504
(541) 734-2435
(541) 734-4366
Mailing address
3541 E BARNETT RD, SUITE A, MEDFORD, OR 97504
(541) 734-2435
(541) 734-4366
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058433000
BLUE CROSS BLUE SHIELD
OR
05
—
070263
—
OR
01
—
GXC00520
MEDICAL
CA
Enumeration date
07/12/2006
Last updated
05/13/2026
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