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ELLIOTT PEDORTHIC CARE LLC NPI 1467783761


NPI Information

NPI: 1467783761
Provider Name: ELLIOTT PEDORTHIC CARE LLC

Doing Business As: ELLIOTT FOOTWEAR & ORTHOTIC SERVICES

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
85084 KENSINGTON DR
PLEASANT HILL, OR
ZIP 97455
Phone: (541) 726-0751
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ELLIOTT PEDORTHIC CARE LLC is a prosthetic orthotic supplier in Pleasant Hill, OR. 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. ELLIOTT PEDORTHIC CARE LLC NPI is 1467783761. The provider is registered as an organization entity type.
The provider Is Doing Business As Elliott Footwear & Orthotic Services.

The provider's business location address is:

85084 KENSINGTON DR
PLEASANT HILL, OR
ZIP 97455-621
Phone: (541) 726-0751

The provider's authorized official is Brady Elliott .
The authorized official title is Manager and has the following contact phone number (541) 726-0751.

The enumeration date for this NPI number is 1/26/2010 and was last updated on 1/26/2010.


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 SupplierOREGONYes

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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