IndividualActive
Jude Elliott, CPO
NPI 1154845204 · Prosthetist · Salem, OR
Provider details
- NPI number
- 1154845204
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
- License
- CPO1930 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
675 12th St Se
Salem, OR 97301-4002
Phone: (503) 581-9191
Approximate (ZIP-level) locationGet directions
Mailing address
675 12th St Se
Salem, OR 97301-4002
Registry dates
- Enumerated
- 2017-07-31
- Last updated
- 2017-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.