MEDICARE: HANGER PROSTHETICS & ORTHOTICS WEST 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
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1497866396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANGER PROSTHETICS & ORTHOTICS WEST INC

Provider Business Mailing Address
First Line	:	208 LILLY RD NE
Second Line	:	SUITE A
City	:	OLYMPIA
State	:	WA
Zip	:	98506-5031
Country	:	US
Telephone Number	:	360-459-1099
Fax Number	:	360-459-1794

Provider Business Practice Location Address
First Line	:	3000 LIMITED LN NW
Second Line	:	SUITE 130
City	:	OLYMPIA
State	:	WA
Zip	:	98502-2704
Country	:	US
Telephone Number	:	360-754-4355
Fax Number	:	360-754-2033

Authorized Official
Title or Position	:	DIRECTOR OF REIMBURSEMENT
Name	:	SHERYL PRICE
Credential	:
Telephone Number	:	503-493-8288

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/22/2020

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