MEDICARE: YAKIMA ORTHOTICS AND PROSTHETICS, PC

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
1	335E00000X	Prosthetic/Orthotic Supplier	602349936	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	120244	OTHER	WA	LABOR AND INDUSTRIES
2	W40472	OTHER	WA	CHAMPUS TRICARE
3	YA0282	OTHER	WA	PREMERA BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	YA0282	OTHER	WA	REGENCE BLUE SHIELD

General Provider Information

NPI Number	:	1063728707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YAKIMA ORTHOTICS AND PROSTHETICS, PC

Provider Business Mailing Address
First Line	:	313 S 9TH AVE
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98902-3516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1206 N DOLARWAY RD
Second Line	:	SUITE 110
City	:	ELLENSBURG
State	:	WA
Zip	:	98926-8392
Country	:	US
Telephone Number	:	509-925-7700
Fax Number	:	509-925-7707

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ANDREW D LAMBERT
Credential	:	CPO
Telephone Number	:	509-248-8040

Provider Enumeration Date	:	08/19/2010
Last Update Date	:	03/11/2026

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Directions to “YAKIMA ORTHOTICS AND PROSTHETICS, PC ” Practice Location

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