NPI 1730948589
Derrick Kleiner, CPO
Practice location
- Address
- 300 Union Ave STE C, Grants Pass, OR 97527-5861
- Phone
- (541) 955-9678
- Fax
- (541) 471-4909
Registered specialties (2)
Prosthetist
Primary
Orthotist
Registry record
- NPI
- 1730948589
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Mar 2024
- Record last updated
- 14 Mar 2024
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.