Portland Orthopedic Services P.C.

LBN: Portland Orthopedic Services P.C.
Portland Orthopedic Services P.C. is an health care organization with primary practice located at 12037 Ne Marx St , Portland OR 97220-9013. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Portland Orthopedic Services P.C. can be contacted via phone (503) 408-8378, or through Tilson, William Wallace via phone (503) 408-8378.

Contact Information

Primary practice address
12037 Ne Marx St Portland OR 97220-9013
Phone: (503) 408-8378
Fax: (503) 408-8389
Website:
Map and Directions
Authorized official contact:
Name: Tilson, William Wallace Certified Orthotist (CO)
Phone: (503) 408-8378

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1467480053
LBN Legal business name Portland Orthopedic Services P.C.
DBA Doing business as
Authorized official Tilson, William Wallace Certified Orthotist (CO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467480053 NPPES
Oregon MEDICAID 230829

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