Organization
WILLAMETTE ORTHOTICS & PROSTHETICS LLC
Active
Other names
Summit Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
TODD NELSON (OWNER)
(503) 364-6006
Entity
Organization
Contact information
Practice address
1310 MERIDIAN DR, SUITE B-1, WOODBURN, OR 97071-9668
(503) 364-6006
Mailing address
PO BOX 7339, SALEM, OR 97303-0102
(503) 364-6006
(503) 364-6046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
02/23/2017
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