Provider Demographics
NPI:1316762552
Name:OREGON LIMB & BRACE LLC
Entity type:Organization
Organization Name:OREGON LIMB & BRACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MORSCHL
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:570-433-1236
Mailing Address - Street 1:7318 N LEAVITT AVE UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-4840
Mailing Address - Country:US
Mailing Address - Phone:570-433-1236
Mailing Address - Fax:
Practice Address - Street 1:7318 N LEAVITT AVE UNIT 102
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-4840
Practice Address - Country:US
Practice Address - Phone:570-433-1236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier