NPI 1205207073

Northwest Extremity Specialists

Organisation Prosthetic/Orthotic Supplier Gresham, OR

Practice location

Address: 831 NW Council Dr STE 203, Gresham, OR 97030-3723
Phone: (503) 667-6600
Fax: (503) 667-6608
Mailing address: 6542 SE Lake Rd STE 106, Milwaukie, OR 97222-2245

Authorised official

Name: Heidi T McCammon
Title: Administrator
Phone: (503) 667-6600

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 335E00000X (OR)

Other Prosthetic/Orthotic Supplier providers in Oregon →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X Licence 332BC3200X (OR)

Other Durable Medical Equipment & Medical Supplies providers in Oregon →

Registry record

NPI: 1205207073
Entity type: Organization
NPI issued: 19 Oct 2015
Record last updated: 19 Oct 2015

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.