Douglass Cert Pros & Orthotics, Inc

Prosthetic & Orthotic Supplier


  
15225 Aurora Ave N, Shoreline
Washington, 98133-6123

 206-363-7790     206-363-7688Maps & Directions
Douglass Cert Pros & Orthotics, Inc is a Prosthetic & Orthotic Supplier in Shoreline, Washington. It is situated at 15225 Aurora Ave N, Shoreline and its contact number is 206-363-7790. The authorized person of Douglass Cert Pros & Orthotics, Inc is Glen Stephen Ellis who is Chief Executive Officer of the store and his/her contact number is 510-537-1210. Primary license number for Douglass Cert Pros & Orthotics, Inc is PS00000063 in Washington.
Douglass Cert Pros & Orthotics, Inc 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.


Complete Center Profile:
Douglass Cert Pros & Orthotics, Inc Center speciality, address, contact phone number and fax are as below. Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization: Prosthetic & Orthotic Supplier
Address:15225 Aurora Ave N, Shoreline,
Washington, 98133-6123
Phone:206-363-7790
Fax:206-363-7688
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name: Glen Stephen Ellis
Position: Chief Executive Officer
Contact Number: 510-537-1210
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 for Douglass Cert Pros & Orthotics, Inc center are as mentioned below.
NPI Number: 1992743090
NPI Enumeration Date: 02 Jun, 2006
NPI Last Update On: 14 Dec, 2022

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Douglass Cert Pros & Orthotics, Inc are as mentioned below.
SpecializationLicense NumberStateStatus
Prosthetic/orthotic Supplier PS00000063WashingtonPrimary
Prosthetic/orthotic Supplier OI00000062WashingtonSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
9041328MedicaidWashington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Douglass Cert Pros & Orthotics, Inc
15225 Aurora Ave N,
Shoreline, Washington
Zip: 98133-6123
Phone Number: 206-363-7790
Fax Number: 206-363-7688
Patients can reach Douglass Cert Pros & Orthotics, Inc at 15225 Aurora Ave N, Shoreline, Washington or can call to book an appointment on 206-363-7790. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.

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