Pacific Footwear Company, Inc. is a Prosthetic & Orthotic Supplier in Portland, Oregon. It is situated at 10240 Sw Nimbus Ave, Suite L1, Portland and its contact number is 503-524-9656. The authorized person of Pacific Footwear Company, Inc. is Kevin W Clarke
who is President of the store and his/her contact number is 503-524-9656. Pacific Footwear Company, 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:
Pacific Footwear Company, 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:
10240 Sw Nimbus Ave, Suite L1, Portland, Oregon, 97223
Phone:
503-524-9656
Fax:
503-524-8397
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:
Kevin W Clarke
Position:
President
Contact Number:
503-524-9656
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 Pacific Footwear Company, Inc. center are as mentioned below.
NPI Number:
1558316851
NPI Enumeration Date:
24 May, 2006
NPI Last Update On:
22 Apr, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pacific Footwear Company, Inc. are as mentioned below.
Specialization
License Number
State
Status
Customized Equipment
Primary
Prosthetic/orthotic Supplier
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
297988
Medicaid
Oregon
9054784
Medicaid
Washington
806954600
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Pacific Footwear Company, Inc. 10240 Sw Nimbus Ave, Suite L1 Portland, Oregon
Zip:
97223
Phone Number:
503-524-9656
Fax Number:
503-524-8397
Patients can reach Pacific Footwear Company, Inc. at 10240 Sw Nimbus Ave, Suite L1, Portland, Oregon or can call to book an appointment on 503-524-9656. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.