Organization
COLUMBIA BASIN PROSTHETICS & ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALLEN JOHNSON (CO OWNER / VICE PRESIDENT)
(509) 737-8322
Entity
Organization
Contact information
Practice address
2624 W DESCHUTES AVE, SUITE A, KENNEWICK, WA 99336-3003
(509) 737-8322
(509) 737-1290
Mailing address
2624 W DESCHUTES AVE, SUITE A, KENNEWICK, WA 99336-3003
(509) 737-8322
(509) 737-1290
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182856
OMAP
OR
05
—
9051418
—
WA
Enumeration date
05/02/2006
Last updated
07/31/2008
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