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WILLAMETTE ORTHOTICS & PROSTHETICS LLC
NPI 1124726815
Prosthetic/Orthotic Supplier in Tualatin, OR

Active since February 21, 2023
19767 SW 72ND AVE STE 102, TUALATIN, OR 97062(503) 364-6006(503) 364-6046 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Feb 21, 2023 (2 updates tracked since 2023).

About Willamette Orthotics & Prosthetics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLAMETTE ORTHOTICS & PROSTHETICS LLC (NPI 1124726815), doing business as Summit Orthotics And Prosthetics, is a healthcare organization registered as a prosthetic/orthotic supplier in Tualatin, Oregon and active in the NPI registry since February 2023. The organization lists Ivan Sabel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124726815
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameWILLAMETTE ORTHOTICS & PROSTHETICS LLC
Location Address19767 SW 72ND AVE STE 102Tualatin, OR 97062-8354
Mailing AddressPo Box 7339Salem, OR 97303-0102 · (503) 364-6006 · Fax (503) 364-6046
Phone(503) 364-6006
Fax(503) 364-6046
Organization SubpartYes
Authorized OfficialIvan SabelCeo · (503) 364-6006
Enumeration DateFebruary 21, 2023
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1124726815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
19767 SW 72ND AVE STE 102, Tualatin, OR 97062
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Other Names 1

Doing Business AsSummit Orthotics And Prosthetics

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Willamette Orthotics And Prosthetic carries, from the Medicare DMEPOS supplier directory.

Willamette Orthotics And Prosthetic

DMEPOS supplier · Tualatin, OROperated by Willamette Orthotics & Prosthetics LLC
✔

Accepts Medicare assignment

Willamette Orthotics And Prosthetic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)21610437
Medicare Participant SinceJanuary 1, 2006
Supplier Location19767 SW 72nd Ave Ste 102Tualatin, OR 97062
Phone(503) 451-5919
Provider TypeCertified Orth/Pros/Pedorthist

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAST SIDE ORTHOTICS & PROSTHETICS, INC.
Prosthetic/Orthotic Supplier
19767 SW 72ND AVE STE 102
TUALATIN, OR 97062
Washington County (503) 257-6623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willamette Orthotics & Prosthetics LLC's NPI number?

The NPI number for Willamette Orthotics & Prosthetics LLC is 1124726815. It was assigned to this organization in the NPPES registry on February 21, 2023. The provider is doing business as Summit Orthotics And Prosthetics.

Where is Willamette Orthotics & Prosthetics LLC located?

Willamette Orthotics & Prosthetics LLC is located at 19767 SW 72nd Ave Ste 102, Tualatin, OR 97062. The listed phone number is (503) 364-6006.

What is Willamette Orthotics & Prosthetics LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Willamette Orthotics & Prosthetics LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Willamette Orthotics And Prosthetic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Willamette Orthotics & Prosthetics LLC was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.