Healthcare Provider Details

I. General information

NPI: 1366356784
Provider Name (Legal Business Name): PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 MADISON ST STE 1460
SEATTLE WA
98104-4303
US

IV. Provider business mailing address

911 MAIN ST STE 100
OREGON CITY OR
97045-1853
US

V. Phone/Fax

Practice location:
  • Phone: 206-328-4276
  • Fax: 206-328-1037
Mailing address:
  • Phone: 503-765-5081
  • Fax: 971-316-1553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TIMOTHY L O'NEILL
Title or Position: PRESIDENT
Credential:
Phone: 503-407-5408