Pacific Footwear Company, Inc.
NPI 1558316851 · Customized Equipment (DME) · Portland, OR
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Pedorthic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Footwear Company, Inc. is a Customized Equipment (DME) organization in Portland, OR (NPI 1558316851).
Provider details
- NPI number
- 1558316851
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Kevin Clarke, President(503) 524-9656
Specialties & taxonomies
Suppliers
- Prosthetic/Orthotic Supplier335E00000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Priority Footwear & Pedorthic Services
- Doing business as
- Priority Footwear & Pedorthic Services
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Frequently asked questions
- What is Pacific Footwear Company, Inc.'s NPI number?
- Pacific Footwear Company, Inc.'s National Provider Identifier (NPI) is 1558316851, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Footwear Company, Inc.?
- Pacific Footwear Company, Inc. is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Pacific Footwear Company, Inc. located?
- Pacific Footwear Company, Inc.'s practice location on file with NPPES is 10240 Sw Nimbus Ave, Portland, OR 97223.
- What is Pacific Footwear Company, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Pacific Footwear Company, Inc. is (503) 524-9656.
- Does Pacific Footwear Company, Inc. accept Medicare?
- Pacific Footwear Company, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pacific Footwear Company, Inc.?
- The authorized official listed on Pacific Footwear Company, Inc.'s NPPES record is Kevin Clarke, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Footwear Company, Inc.'s NPI active?
- Yes — Pacific Footwear Company, Inc.'s NPI (1558316851) is active in the NPPES registry as of the last update on 2025-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.