OREGON PEDORTHIC SERVICES (NPI# 1376546978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376546978 |
Entity Type | Organization |
Organization Name | OREGON PEDORTHIC SERVICES |
Other Organization Name | ARCHFITTERS |
Practice Address |
12214 Se Mill Plain Blvd Ste 102 Vancouver WA 98684-6019 |
Mailing Address |
Po Box 608 Gresham OR 97030-0154 |
Practice Telephone | 3608851930 |
Practice Fax Number | 3608851930 |
Mailing Telephone | 5034911723 |
Mailing Fax Number | 5034890706 |
Enumeration Date | 2005-05-27 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. RODRICK FORD STOCKWELL (OFFICE MANAGER) |
Authorized Official Telephone | 5034911723 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | OR | Suppliers |
X | 335E00000X | Prosthetic/Orthotic Supplier | ========= | OR | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 207923 | 05 |
Other Name | Type Code |
---|---|
Archfitters | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033112636 | Oregon Pedorthic Services | Prosthetic/Orthotic Supplier | 9932 Ne Halsey St, Portland, OR 97220-4474 | 2005-05-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | OREGON PEDORTHIC SERVICES, INC. | 1625 Se Hogan Rd Unit G, Gresham, OR 97080 |
Washington State Corporations | OREGON PEDORTHIC SERVICES, INC. | 12214 Se Mill Plain Blvd, Vancouver, WA 98660 |
Street Address |
12214 SE MILL PLAIN BLVD STE 102 |
City | VANCOUVER |
State | WA |
Zip Code | 98684-6019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275046914 | Spencer Jensen Hubbard | Chiropractor | 12214 Se Mill Plain Blvd, Vancouver, WA 98684-6019 | 2017-11-15 |
1689075848 | Jacqueline R Lemon I | Contractor | 12214 Se Mill Plain Blvd, Suite 101, Vancouver, WA 98684-6019 | 2014-09-08 |
1376868919 | Mary E Goetz | Mechanotherapist | 12214 Se Mill Plain Blvd, #101, Vancouver, WA 98684-6019 | 2010-04-06 |
1417180621 | Cynthia M Stovall | Massage Therapist | 12214 Se Mill Plain Blvd, Suite 101, Vancouver, WA 98684-6019 | 2009-09-03 |
1407035405 | Andrea Lynn Hughes | Massage Therapist | 12214 Se Mill Plain Blvd, Suite 101, Vancouver, WA 98684-6019 | 2007-10-26 |
1902090509 | Lucas Q Homer | Chiropractor | 12214 Se Mill Plain Blvd, Ste 101, Vancouver, WA 98684-6019 | 2007-08-28 |
1174721989 | Sean William Martin | Massage Therapist | 12214 Se Mill Plain Blvd, #101, Vancouver, WA 98684 | 2007-07-03 |
1679641393 | Cascade Park Sports Medicine & Rehab Clinic Pllc | Chiropractor | 12214 Se Mill Plain Blvd, Ste 101, Vancouver, WA 98684-6019 | 2006-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
Find all providers in zip 98684 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528675451 | Zoia Healthcare | Durable Medical Equipment & Medical Supplies | 12308 Ne 56th St Ste 1611, Vancouver, WA 98682-6495 | 2020-09-24 |
1932754140 | Vivakeso LLC | Durable Medical Equipment & Medical Supplies | 2718 Ne 152nd Ave, Vancouver, WA 98684-7887 | 2019-08-05 |
1417519299 | Amerita, Inc. | Durable Medical Equipment & Medical Supplies | 18110 Se 34th St Ste 290, Vancouver, WA 98683-9440 | 2019-07-02 |
1023530508 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 200 Ne Mother Joseph Pl Ste 305, Vancouver, WA 98664-3296 | 2017-07-17 |
1306368915 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 2121 Ne 139th St Ste 300, Vancouver, WA 98686-2316 | 2017-07-14 |
1093237612 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 3101 Se 192nd Ave Ste 103, Vancouver, WA 98683-1443 | 2017-07-14 |
1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
1770930323 | Sleep Technologies Ltd | Durable Medical Equipment & Medical Supplies | 9300 Ne Vancouver Mall Dr Ste 203, Vancouver, WA 98662-8206 | 2016-05-24 |
1659759504 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1601 E Fourth Plain Blvd Ste B260, Vancouver, WA 98661-3713 | 2015-05-12 |
1346639382 | Orion Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 3002 Ne 112th Ave Ste F, Vancouver, WA 98682-7262 | 2015-01-14 |
Find all providers in VANCOUVER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.