Portland Orthopedic Services P.c.

NPI #1467480053 in Portland, Oregon

Provider Information

NPI Number: 1467480053
Entity Type: Organization
Organization Name: Portland Orthopedic Services P.c.
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Jun 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 12037 NE MARX ST
City: Portland
State: Oregon
ZIP Code: 97220-9013
Phone: (503) 408-8378

Authorized Official

Name: MR. WILLIAM WALLACE TILSON, C.O.
Title: OWNER/PRESIDENT
Phone: (503) 408-8378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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