PACIFIC FOOTWEAR COMPANY, INC.
NPI 1841581717
Durable Medical Equipment & Medical Supplies - Customized Equipment in Medford, OR

Active since April 27, 2011
955 TOWN CENTRE DR STE A, MEDFORD, OR 97504(547) 608-7400(541) 608-7600 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 1841581717), doing business as Priority Footwear & Pedorthic Services, is a healthcare organization registered as a customized equipment in Medford, Oregon and active in the NPI registry since April 2011. The organization lists Kevin W Clarke, President, as its authorized official.

NPPES Registry Identity

NPI1841581717
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NamePACIFIC FOOTWEAR COMPANY, INC.
Location Address955 TOWN CENTRE DR STE AMedford, OR 97504-6188
Mailing Address10240 Sw Nimbus Ave, Suite L1Portland, OR 97223-4358 · (503) 524-9565 · Fax (503) 524-8397
Fax(541) 608-7600
Organization SubpartNo
Authorized OfficialKevin W ClarkePresident · (503) 524-9656
Enumeration DateApril 27, 2011
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
NPI 1841581717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code332BC3200X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
955 TOWN CENTRE DR STE A, Medford, OR 97504

Other Names 1

Doing Business AsPriority Footwear & Pedorthic Services

Other Identifiers 1

Medicaid297988OR

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 1841581717. It was assigned to this organization in the NPPES registry on April 27, 2011. The provider is doing business as Priority Footwear & Pedorthic Services.

Where is Pacific Footwear Company, Inc. located?

Pacific Footwear Company, Inc. is located at 955 Town Centre Dr Ste A, Medford, OR 97504. The listed phone number is (547) 608-7400.

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.

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 15 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.