NPI 1033112636

Oregon Pedorthic Services

Organisation Prosthetic/Orthotic Supplier Portland, OR

Practice location

Address: 9932 NE Halsey St, Portland, OR 97220-4474
Phone: (503) 491-1723
Fax: (503) 489-0706
Mailing address: PO Box 608, Gresham, OR 97030-0154

Authorised official

Name: Rodrick Ford Stockwell
Title: Office Manager
Phone: (503) 491-1723

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Oregon →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Oregon →

Registry record

NPI: 1033112636
Entity type: Organization
NPI issued: 27 May 2005
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.