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PACIFIC PROSTHETICS AND ORTHOTICS LLC NPI 1316018583


NPI Information

NPI: 1316018583
Provider Name: PACIFIC PROSTHETICS AND ORTHOTICS, LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
322 SW 155TH ST
SUITE C
BURIEN, WA
ZIP 98166
Phone: (206) 246-8910
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PACIFIC PROSTHETICS AND ORTHOTICS, LLC is a prosthetic orthotic supplier in Burien, WA. The provider is 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. PACIFIC PROSTHETICS AND ORTHOTICS, LLC NPI is 1316018583. The provider is registered as an organization entity type.

The provider's business location address is:

322 SW 155TH ST
SUITE C
BURIEN, WA
ZIP 98166-590
Phone: (206) 246-8910
Fax: (206) 242-0165

The provider's authorized official is Raymond M Frieszell .
The authorized official title is Owner and has the following contact phone number (206) 246-8910.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 10/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierPS000000555555WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19049644MEDICAIDWASHINGTON
21316960001MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
3139008OTHERWASHINGTONLABOR AND INDUSTRIES
42020PAOTHERWASHINGTONREGENCE BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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