Organization · Type 2 NPI

Northwest Extremity Specialists

Prosthetic/Orthotic Supplier · Gresham, OR

NPI number 1205207073 Active

Practice location

831 NW Council Dr Ste 203
Gresham, OR 97030-3723

Fax (503) 667-6608

Mailing address

6542 SE Lake Rd Ste 106
Milwaukie, OR 97222-2245

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000X332BC3200X (OR)
Prosthetic/Orthotic Supplier Primary 335E00000X335E00000X (OR)

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1205207073

Northwest Extremity Specialists's National Provider Identifier is 1205207073, issued on Oct 19, 2015. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Gresham, OR. The record was last updated on Oct 19, 2015.