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Willamette Orthotics & Prosthetics LLC — NPI 1124726815, Tualatin, OR | NPI Central

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NPI 1124726815

OrganizationActive

Willamette Orthotics & Prosthetics LLC

NPI 1124726815 · Prosthetic/Orthotic Supplier · Tualatin, OR

Provider details

NPI number: 1124726815
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Parent organization: Willamette Orthotics & Prosthetics LLC
Organization subpart: Yes
Authorized official: Ivan Sabel, Ceo(503) 364-6006

Specialties & taxonomies

Prosthetic/Orthotic SupplierPrimary335E00000X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Practice location

19767 Sw 72nd Ave Ste 102

Tualatin, OR 97062-8354

Phone: (503) 364-6006

Fax: (503) 364-6046

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

Po Box 7339

Salem, OR 97303-0102

Other names (DBA / former)

Doing business as: Summit Orthotics and Prosthetics

Registry dates

Enumerated: 2023-02-21
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.