Orthotic Prosthetic Associates, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHOTIC PROSTHETIC ASSOCIATES, INC.

Practice address

173 NE 102ND Ave
Portland, OR 97220-4169

Phone

(503) 252-5100

Fax

(503) 253-8086

NPI assigned

Nov 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dave Alfred Janke, C.P.O., C.PED.

Title

President

Phone

(503) 252-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Columbia Prosthetics and Orthotics Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1023188778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 NE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204169",
            "telephone_number": "503-252-5100",
            "fax_number": "503-253-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 NE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204169",
            "telephone_number": "503-252-5100",
            "fax_number": "503-253-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC PROSTHETIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "JANKE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-252-5100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O., C.PED."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229262",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orthopedic & TMJ Physical Therapy Center
• Orthopedic Needle LLC
• Orthopedic Specialists, PC
• Orthopedic Specialists, PC
• Orthotic Prosthetic Associates Inc
• Valeria Ortiz Irizarry, ND
• Nieves Ortiz Riboni, QMHA-I
• Belisario Alexander Ortiz Rueda, MD
• Ivan Ortiz-Bucio
• Sarai Ortiz-Bucio

• Prosthetic/Orthotic Supplier in Portland, OR
• Providers in Portland, OR by specialty
• Prosthetic/Orthotic Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.