| Organization Name: | OREGON ORTHOTIC SERVICES, INC |
| NPI Number: | 1376900548 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KELLIE MAFFUCCI (LEAD OFFICE ADMINISTRATOR) |
| Mailing Address: | 2030 Blue Mesa Ct Loveland |
| State: | CO US |
| Postal Code: | 805384188 |
| Phone Number: | 9706724937 |
| Fax Number: | 9706722883 |
| NPI Enumeration Date: | 01/19/2016 |
| NPI Last Update Date: | 01/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 20166000095 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |