Columbia Basin Prosthetics & Orthotics, INC.
Prosthetic/Orthotic Supplier in Kennewick, WA. Organization (NPI-2).
NPI number1992763718
StatusActive
Last updated in NPPESJul 31, 2008
Details
- NPI
- 1992763718
- Entity type
- Organization (NPI-2)
- Legal business name
- Columbia Basin Prosthetics & Orthotics, INC.
- Organization subpart
- No
- Enumeration date
- May 2, 2006
- Last updated
- Jul 31, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
2624 W Deschutes AveSuite A
Kennewick, WA 99336-3003
Phone 509-737-8322 · Fax 509-737-1290
Mailing address
2624 W Deschutes AveSuite A
Kennewick, WA 99336-3003
Phone 509-737-8322 · Fax 509-737-1290
Authorized official
Jeffrey Allen Johnson
Co Owner / Vice President
5097378322
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