Portland Orthopedic Services P.c.
Customized Equipment
12037 Ne Marx St, Portland
Oregon, 97220-9013
503-408-8378 503-408-8389
Portland Orthopedic Services P.c. is a Customized Equipment in Portland, Oregon. It is located at 12037 Ne Marx St, Portland and it's customer support contact number is 503-408-8378. The authorized person of Portland Orthopedic Services P.c. is Mr. William Wallace Tilson, C.O. who is Owner/president of this DME and his contact number is 503-408-8378. Portland Orthopedic Services P.c. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Portland Orthopedic Services P.c. is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Portland Orthopedic Services P.c. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Portland Orthopedic Services P.c. |
| Type: | Customized Equipment |
| Location: | 12037 Ne Marx St, Portland,
Oregon, 97220-9013 |
| Phone: | 503-408-8378 |
| Fax: | 503-408-8389 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. William Wallace Tilson |
| Credentials: | C.O. |
| Position: | Owner/president |
| Contact Number: | 503-408-8378 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1467480053 |
| NPI Enumeration Date: | 30 Jun, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Portland Orthopedic Services P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 230829 | Medicaid | Oregon | |
Medicare Enrollment:
Portland Orthopedic Services P.c. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5193937563 | O20100930079081 | Portland Orthopedic Services P.c. | DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH ORTHOTIC-PROSTHETIC |
Products Available:
Portland Orthopedic Services P.c. has following products available for sale under medicare.
| Products: |
|---|
| • Diabetic Shoes & Inserts: Custom Fabricated | • Diabetic Shoes & Inserts: Prefabricated |
| • Limb Prostheses | • Orthoses: Custom Fabricated |
| • Orthoses: Prefabricated | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12037 Ne Marx St,
Portland, Oregon |
| Zip: | 97220-9013 |
| Phone Number: | 503-408-8378 |
| Fax Number: | 503-408-8389 |
Patients can reach Portland Orthopedic Services P.c. at
12037 Ne Marx St, Portland, Oregon or can
call on customer care at 503-408-8378.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.