OrganizationActive
Pediatric Orthotic and Prosthetic Services - Northwest, LLC
NPI 1851669584 · Prosthetic/Orthotic Supplier · Portland, OR
Provider details
- NPI number
- 1851669584
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Pediatric Orthotic and Prosthetic Services - Northwest, LLC
- Organization subpart
- Yes
- Authorized official
- Todd Dewees, Manager(503) 221-3430
Specialties & taxonomies
Suppliers
Practice location
3101 Sw Sam Jackson Park Rd
Portland, OR 97239-3009
Phone: (503) 221-3430
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 947109
Atlanta, GA 30394-7109
Registry dates
- Enumerated
- 2011-12-08
- Last updated
- 2025-04-23
- Certified
- 2025-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.