Northwest Extremity Specialists

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

335E00000X Issued in OR

Legal business name

NORTHWEST EXTREMITY SPECIALISTS

Practice address

831 NW Council Dr Ste 203
Gresham, OR 97030-3723

Phone

(503) 667-6600

Fax

(503) 667-6608

NPI assigned

Oct 19, 2015

Last updated

Oct 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidi T McCammon

Title

Administrator

Phone

(503) 667-6600

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1205207073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD STE 106",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222245",
            "telephone_number": "503-667-6600",
            "fax_number": "503-667-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 NW COUNCIL DR STE 203",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303723",
            "telephone_number": "503-667-6600",
            "fax_number": "503-667-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EXTREMITY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "MCCAMMON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-667-6600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "332BC3200X",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OR",
            "license": "335E00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Noble, DDS
• Timothy O. Noreuil, MD
• Audra Rachelle Norris-Jacob, MD
• Northland Hearing Centers, Inc (Willoughby Hearing Aid Centers)
• Scout Northway, MA
• Northwest Oral & Maxillofacial Surgeons, LLC
• Northwest Oral and Maxillofacial Surgeons (Beacon Oral and Maxillofacial Surgeons)
• Northwest Serenity LLC
• Caz H Novak, LCSW
• NS Hearing Network (Willoughby Hearing)

• Prosthetic/Orthotic Supplier in Gresham, OR
• Providers in Gresham, 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 Oct 19, 2015; 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.