NPI 1285852004

Clearwater Orthotics and Prosthetics, LLC

Organisation Prosthetic/Orthotic Supplier Lewiston, ID

Practice location

Address: 801 Bryden Ave, Lewiston, ID 83501-4927
Phone: (208) 798-4605
Mailing address: PO Box 2620, Hayden, ID 83835-2620

Authorised official

Name: Karen Hale
Title: Office Manager
Phone: (818) 357-5732

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1285852004
Entity type: Organization
NPI issued: 24 Apr 2007
Record last updated: 1 Dec 2011

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.