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NPI Code Detail

MEDICARE: SPECTRUM ORTHOTICS AND PROSTHETICS, INC.

MEDICARE: SPECTRUM ORTHOTICS AND PROSTHETICS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467797191
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECTRUM ORTHOTICS AND PROSTHETICS, INC.
Provider Business Mailing Address
First Line : 3541 E BARNETT RD STE A
Second Line :
City : MEDFORD
State : OR
Zip : 97504-8306
Country : US
Telephone Number : 541-734-2435
Fax Number : 541-734-4366
Provider Business Practice Location Address
First Line : 887 PLUMAS ST STE A
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-4026
Country : US
Telephone Number : 530-418-8338
Fax Number : 530-815-2736
Authorized Official
Title or Position : CEO
Name : IVAN SABEL
Credential :
Telephone Number : 541-734-2435
Provider Enumeration Date : 12/06/2012
Last Update Date : 05/13/2026

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Directions to “SPECTRUM ORTHOTICS AND PROSTHETICS, INC. ” Practice Location

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