OREGON PEDORTHIC SERVICES
NPI 1033112636
Prosthetic/Orthotic Supplier in Portland, OR
- Organization
- Prosthetic/Orthotic Supplier
About OREGON PEDORTHIC SERVICES
This page provides the complete NPI Profile along with additional information for Oregon Pedorthic Services, a provider established in Portland, Oregon operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1033112636 assigned on May 2005. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Rodrick Ford Stockwell (Office Manager)
- NPI
- 1033112636 Verify this NPI
- Provider Name
- OREGON PEDORTHIC SERVICES
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 9932 NE HALSEY ST PORTLAND, OR 97220
- Location Phone
- (503) 491-1723
- Location Fax
- (503) 489-0706
- Mailing Address
- PO BOX 608 GRESHAM, OR 97030
- Mailing Phone
- (503) 491-1723
- Mailing Fax
- (503) 489-0706
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2005
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- License State
- OR
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 207923 | MEDICAID (05) | OR |
Reviews for OREGON PEDORTHIC SERVICES
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PORTLAND, OR 97220
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033112636, enumerated as an "organization" on May 27, 2005.
The provider is located at 9932 NE HALSEY ST PORTLAND, OR 97220 and the phone number is (503) 491-1723.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
