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NPI Code Detail

MEDICARE: OREGON LIMB & BRACE LLC

MEDICARE: OREGON LIMB & BRACE LLC
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

General Provider Information

NPI Number : 1316762552
Entity Type Code : Organization
Provider Name (Legal Business Name) : OREGON LIMB & BRACE LLC
Provider Business Mailing Address
First Line : 7318 N LEAVITT AVE UNIT 102
Second Line :
City : PORTLAND
State : OR
Zip : 97203-4840
Country : US
Telephone Number : 570-433-1236
Fax Number :
Provider Business Practice Location Address
First Line : 7318 N LEAVITT AVE UNIT 102
Second Line :
City : PORTLAND
State : OR
Zip : 97203-4840
Country : US
Telephone Number : 570-433-1236
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. ANDREW JAMES MORSCHL
Credential : CPO
Telephone Number : 570-433-1236
Provider Enumeration Date : 11/21/2024
Last Update Date : 11/21/2024

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Directions to “OREGON LIMB & BRACE LLC ” Practice Location

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