IndividualActive
Derrick Kleiner, CPO
NPI 1730948589 · Prosthetist · Grants Pass, OR
Provider details
- NPI number
- 1730948589
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthotist222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
300 Union Ave Ste C
Grants Pass, OR 97527-5861
Phone: (541) 955-9678
Fax: (541) 471-4909
Approximate (ZIP-level) locationGet directions
Mailing address
300 Union Ave Ste C
Grants Pass, OR 97527-5861
Registry dates
- Enumerated
- 2024-03-14
- Last updated
- 2024-03-14
- Certified
- 2024-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.