NPI 1124726815
Willamette Orthotics & Prosthetics LLC
Practice location
- Address
- 19767 SW 72nd Ave STE 102, Tualatin, OR 97062-8354
- Phone
- (503) 364-6006
- Fax
- (503) 364-6046
- Mailing address
- PO Box 7339, Salem, OR 97303-0102
Authorised official
- Name
- Ivan Sabel
- Title
- Ceo
- Phone
- (503) 364-6006
Registered specialties (2)
Prosthetic/Orthotic Supplier
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1124726815
- Entity type
- Organization
- NPI issued
- 21 Feb 2023
- Record last updated
- 12 May 2026
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.