IndividualActive
John Gregory, CERTIFIED ORTHOTIST
NPI 1699488007 · Prosthetic/Orthotic Supplier · West Linn, OR
Provider details
- NPI number
- 1699488007
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Credential
- CERTIFIED ORTHOTIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- CO003723 (WA)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
2020 8th Ave Ste 222
West Linn, OR 97068-4657
Phone: (503) 344-6642
Fax: (503) 305-7045
Approximate (ZIP-level) locationGet directions
Mailing address
61538 Hardin Martin Ct
Bend, OR 97702-3702
Registry dates
- Enumerated
- 2022-12-30
- Last updated
- 2023-01-13
- Certified
- 2023-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.