Healthcare Provider Details

I. General information

NPI: 1497866396
Provider Name (Legal Business Name): HANGER PROSTHETICS & ORTHOTICS WEST INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 LIMITED LN NW SUITE 130
OLYMPIA WA
98502-2704
US

IV. Provider business mailing address

208 LILLY RD NE SUITE A
OLYMPIA WA
98506-5031
US

V. Phone/Fax

Practice location:
  • Phone: 360-754-4355
  • Fax: 360-754-2033
Mailing address:
  • Phone: 360-459-1099
  • Fax: 360-459-1794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: SHERYL PRICE
Title or Position: DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 503-493-8288