OrganizationActive
Northwest Extremity Specialists
NPI 1205207073 · Prosthetic/Orthotic Supplier · Gresham, OR
Provider details
- NPI number
- 1205207073
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Heidi Mccammon, Administrator(503) 667-6600
- License
- 332BC3200X (OR)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
831 Nw Council Dr Ste 203
Gresham, OR 97030-3723
Phone: (503) 667-6600
Fax: (503) 667-6608
Street-level locationGet directions
Mailing address
6542 Se Lake Rd Ste 106
Milwaukie, OR 97222-2245
Registry dates
- Enumerated
- 2015-10-19
- Last updated
- 2015-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.