Hanger Clinic

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

HANGER CLINIC

Practice address

1516 Hudson St
Suite 105
Longview, WA 98632-3083

Phone

(360) 423-6049

Fax

(360) 425-3690

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Shelby Rae Groppuso

Title

Orthotist/Prosthetist

Phone

(360) 423-6049

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1740720366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 HUDSON ST",
            "address_2": "SUITE 105",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323083",
            "telephone_number": "360-423-6049",
            "fax_number": "360-425-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 HUDSON ST",
            "address_2": "SUITE 105",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323083",
            "telephone_number": "360-423-6049",
            "fax_number": "360-425-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANGER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "GROPPUSO",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "ORTHOTIST/PROSTHETIST",
        "authorized_official_telephone_number": "360-423-6049"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Hammon, DDS
• Robin Hammon, R.D.
• Joshua M Hamoud, MD
• Chong Sup Han, MD
• John Hancock, M.S.
• Hanger Prosthetics & Orthotics West Inc
• Kelli Lynn Hanks, ARNP
• Destiny Lynn Hanna
• Amber Lynn Hansen
• Breanna Hansen

• Prosthetic/Orthotic Supplier in Longview, WA
• Providers in Longview, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.