Pacific Footwear Company, Inc.

NPI #1558316851 in Portland, Oregon

Provider Information

NPI Number
1558316851
Entity Type
Organization
Organization Name
Pacific Footwear Company, Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date
May 24, 2006
Last Updated
Apr 22, 2025

Practice Location

Address
10240 SW NIMBUS AVE
Address 2
SUITE L1
State
Oregon
ZIP Code
97223
Phone
(503) 524-9656

Authorized Official

Name
KEVIN W CLARKE
Title
PRESIDENT
Phone
(503) 524-9656

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment

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