Orthotic Prosthetic Associates Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

NONE Issued in OR

Legal business name

ORTHOTIC PROSTHETIC ASSOCIATES INC

Doing business as

COLUMBIA ORTHOPEDIC

Practice address

173A NE 102ND Ave
Portland, OR 97220-4176

Phone

(503) 252-5100

Fax

(503) 253-8086

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dave A Janke, CPO

Title

Certified Prosthetist Orthotist

Phone

(503) 252-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COLUMBIA ORTHOPEDIC Doing business as

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275667701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173A NE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204176",
            "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": "173A NE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204176",
            "telephone_number": "503-252-5100",
            "fax_number": "503-253-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC PROSTHETIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANKE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CERTIFIED PROSTHETIST ORTHOTIST",
        "authorized_official_telephone_number": "503-252-5100",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OR",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229263",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLUMBIA ORTHOPEDIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orthopedic & Sports Medicine Center of Or LLC
• 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

• Customized Equipment (DME) in Portland, OR
• Providers in Portland, OR by specialty
• Customized Equipment (DME) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.