OrganizationActive
Willamette Orthotics & Prosthetics LLC
NPI 1104014877 · Prosthetic/Orthotic Supplier · Bend, OR
Provider details
- NPI number
- 1104014877
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Ivan Sabel, Ceo(503) 364-6006
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2200 Ne Neff Rd Ste 307
Bend, OR 97701-4279
Phone: (541) 389-5422
Fax: (541) 389-7656
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7339
Salem, OR 97303-0102
Other names (DBA / former)
- Doing business as
- Summit Orthotics & Prosthetics
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.