NPI 1538462957

Larscorp LLC

Organisation Prosthetic/Orthotic Supplier Redmond, OR

Practice location

Address: 735 SW 11th St STE 103, Redmond, OR 97756-2660
Phone: (541) 788-3376
Fax: (541) 388-0818
Mailing address: 3166 NW Colonial Dr, Bend, OR 97703-5518

Authorised official

Name: Cameron Lee Coker
Title: Owner
Phone: (541) 788-3376

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence ABCCPO#2286 (OR)

Other Prosthetic/Orthotic Supplier providers in Oregon →

Registry record

NPI: 1538462957
Entity type: Organization
NPI issued: 7 Dec 2010
Record last updated: 17 Feb 2020

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.