1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

PACIFIC FOOTWEAR COMPANY, INC.
NPI 1558316851
Durable Medical Equipment & Medical Supplies - Customized Equipment in Portland, OR

Active since May 24, 2006
10240 SW NIMBUS AVE, SUITE L1, PORTLAND, OR 97223(503) 524-9656(503) 524-8397 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pacific Footwear Company, Inc. NPPES

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

PACIFIC FOOTWEAR COMPANY, INC. (NPI 1558316851), doing business as Priority Footwear & Pedorthic Services, is a healthcare organization registered as a customized equipment in Portland, Oregon and active in the NPI registry since May 2006. The organization lists Kevin W Clarke, President, as its authorized official.

NPPES Registry Identity

NPI1558316851
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NamePACIFIC FOOTWEAR COMPANY, INC.
Location Address10240 SW NIMBUS AVE, SUITE L1Portland, OR 97223
Mailing Address10240 Sw Nimbus Ave, Suite L1Portland, OR 97223 · (503) 524-9656 · Fax (503) 524-8397
Phone(503) 524-9656
Fax(503) 524-8397
Organization SubpartNo
Authorized OfficialKevin W ClarkePresident · (503) 524-9656
Enumeration DateMay 24, 2006
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1558316851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
10240 SW NIMBUS AVE, Portland, OR 97223
Open in Google Maps ↗

Other Names 1

Doing Business AsPriority Footwear & Pedorthic Services

Other Identifiers 3

Medicaid297988OR
Medicaid9054784WA
Medicaid806954600ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Priority Footwear & Pedorthic Servi carries, from the Medicare DMEPOS supplier directory.

Priority Footwear & Pedorthic Servi

DMEPOS supplier · Portland, OROperated by Pacific Footwear Company, Inc
✔

Accepts Medicare assignment

Priority Footwear & Pedorthic Servi 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)20575769
Medicare Participant SinceJanuary 1, 2006
Supplier Location10240 SW Nimbus Ave Ste L1Portland, OR 97223
Phone(503) 524-9656
Provider TypePedorthic Personnel · Medical Supply Company With Pedorthic Personnel

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
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Lymphedema Compression Treatment Items
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.

PEDORTHIC SERVICES, INC.
Pedorthist
10240 SW NIMBUS AVE, SUITE L5
PORTLAND, OR 97223
Washington County (503) 992-6366

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 Pacific Footwear Company, Inc.'s NPI number?

The NPI number for Pacific Footwear Company, Inc. is 1558316851. It was assigned to this organization in the NPPES registry on May 24, 2006. The provider is doing business as Priority Footwear & Pedorthic Services.

Where is Pacific Footwear Company, Inc. located?

Pacific Footwear Company, Inc. is located at 10240 SW Nimbus Ave Suite L1, Portland, OR 97223. The listed phone number is (503) 524-9656.

What is Pacific Footwear Company, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

Does Pacific Footwear Company, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Priority Footwear & Pedorthic Servi accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Pacific Footwear Company, Inc. accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon and 2 other insurers list Pacific Footwear Company, Inc. 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 Pacific Footwear Company, Inc. was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.