NORTHWEST EXTREMITY SPECIALISTS
NPI 1205207073
Prosthetic/Orthotic Supplier in Gresham, OR

Q: What is Northwest Extremity Specialists's NPI number?

The NPI number for Northwest Extremity Specialists is 1205207073. It was assigned to this organization in the NPPES registry on October 19, 2015.

Q: What is Northwest Extremity Specialists's specialty?

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

Active since October 19, 2015

831 NW COUNCIL DR STE 203, GRESHAM, OR 97030(503) 667-6600(503) 667-6608 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northwest Extremity Specialists NPPES

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

NORTHWEST EXTREMITY SPECIALISTS (NPI 1205207073) is a healthcare organization registered as a prosthetic/orthotic supplier in Gresham, Oregon and active in the NPI registry since October 2015. The organization lists Heidi T Mccammon, Administrator, as its authorized official.

NPPES Registry Identity

NPI1205207073

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameNORTHWEST EXTREMITY SPECIALISTS

Location Address831 NW COUNCIL DR STE 203Gresham, OR 97030-3723

Mailing Address6542 Se Lake Rd Ste 106Milwaukie, OR 97222-2245 · (503) 667-6600 · Fax (503) 667-6608

Phone(503) 667-6600

Fax(503) 667-6608

Organization SubpartNo

Authorized OfficialHeidi T MccammonAdministrator · (503) 667-6600

Enumeration DateOctober 19, 2015

✔ NPI 1205207073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in OR · 335E00000X

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 · License 332BC3200X (OR)

831 NW COUNCIL DR STE 203, Gresham, OR 97030

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Other Identifiers 1

Medicare UPINR179836OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Northwest Extremity Specialists's NPI number?

The NPI number for Northwest Extremity Specialists is 1205207073. It was assigned to this organization in the NPPES registry on October 19, 2015.

Where is Northwest Extremity Specialists located?

Northwest Extremity Specialists is located at 831 NW Council Dr Ste 203, Gresham, OR 97030. The listed phone number is (503) 667-6600.

What is Northwest Extremity Specialists's specialty?

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

What insurance does Northwest Extremity Specialists accept?

Health plans from Providence Health Plan list Northwest Extremity Specialists as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest Extremity Specialists was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.