Willamette Orthotics & Prosthetics Llc
Prosthetic/orthotic Supplier
19767 Sw 72nd Ave Ste 102, Tualatin
Oregon, 97062-8354
503-364-6006 503-364-6046
Willamette Orthotics & Prosthetics Llc is a Prosthetic/orthotic Supplier in Tualatin, Oregon. This organization is also known as sub part of Willamette Orthotics & Prosthetics Llc. It is located at 19767 Sw 72nd Ave Ste 102, Tualatin and it's customer support contact number is 503-364-6006. The authorized person of Willamette Orthotics & Prosthetics Llc is Todd Nelson, CPO who is Senior Vice President of this DME and his contact number is 503-364-6006. Willamette Orthotics & Prosthetics Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Willamette Orthotics & Prosthetics Llc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
DME Supplier Details:
Willamette Orthotics & Prosthetics Llc 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: | Willamette Orthotics & Prosthetics Llc |
| Type: | Prosthetic/orthotic Supplier |
| Location: | 19767 Sw 72nd Ave Ste 102, Tualatin,
Oregon, 97062-8354 |
| Phone: | 503-364-6006 |
| Fax: | 503-364-6046 |
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: | Todd Nelson |
| Credentials: | CPO |
| Position: | Senior Vice President |
| Contact Number: | 503-364-6006 |
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: | 1124726815 |
| Parent Organization: | Willamette Orthotics & Prosthetics Llc |
| NPI Enumeration Date: | 21 Feb, 2023 |
| NPI Last Update On: | 21 Feb, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Willamette Orthotics & Prosthetics Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Willamette Orthotics & Prosthetics Llc 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 |
| 5092826503 | O20240710001022 | Willamette Orthotics & Prosthetics Llc | DME SUPPLIER - CERTIFIED ORTH/PROS/PEDORTHIST |
Products Available:
Willamette Orthotics & Prosthetics Llc has following products available for sale under medicare.
| Products: |
|---|
| • Diabetic Shoes & Inserts: Custom Fabricated | • Diabetic Shoes & Inserts: Prefabricated |
| • Limb Prostheses | • Orthoses: Custom Fabricated |
| • Orthoses: Off-the-shelf | • 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: | Po Box 7339,
Salem, Oregon |
| Zip: | 97303-0102 |
| Phone Number: | 503-364-6006 |
Patients can reach Willamette Orthotics & Prosthetics Llc at
19767 Sw 72nd Ave Ste 102, Tualatin, Oregon or can
call on customer care at 503-364-6006.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.