Spectrum Orthotics & Prosthetics Inc
Organization Active NPI Prosthetic/Orthotic Supplier · Coos Bay, OR
NPI 1174522015 · NPPES record last updated Jan 6, 2015
Key facts
- NPI
- 1174522015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- SPECTRUM ORTHOTICS & PROSTHETICS INC
- Practice address
- 1963 Thompson Rd
Coos Bay, OR 97420-2040 - Phone
- (541) 269-1773
- Fax
- (541) 269-2790
- NPI assigned
- Jul 20, 2005
- Organization subpart
- No
Authorized official
- Name
- Joseph E Cuzzort, CP
- Title
- Owner
- Phone
- (541) 269-1773
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | OR | Yes |
Addresses
Primary practice location
1963 Thompson Rd
Coos Bay, OR 97420-2040
Mailing address
1963 Thompson Rd
Coos Bay, OR 97420-2040
Phone (541) 269-1773
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295418 | Medicaid | OR |
Other providers in Coos Bay, OR
- South Coast Surgery Center, LLC
- Southwest Physical Therapy LLC
- Southwest Physical Therapy LLC
- Rayshal Lee Spalding
- Sparrow Audiology LLC
- Spectrum Prosthetics LLC
- Alex Michael Spencer
- Erin Elizabeth Spier
- Tara Sprague
- Stefanie St. Clair
All providers in Coos Bay, OR · Prosthetic/Orthotic Supplier in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.