Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pacific Footwear Company, Inc

Organization Customized Equipment (DME) · NPI 1558316851

Pacific Footwear Company, Inc is a Customized Equipment (DME) in Portland, Oregon. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10240 SW Nimbus Ave Ste L1
Portland, OR 97223
Phone: (503) 524-9656
Fax: (503) 524-8397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X
Prosthetic/Orthotic Supplier Taxonomy 335E00000X

Record details

NPI number1558316851
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Clarke — President · (503) 524-9656
Other names Priority Footwear & Pedorthic Services; Priority Footwear & Pedorthic Services
NPI enumeratedMay 24, 2006
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address10240 Sw Nimbus Ave, Suite L1, Portland, OR 97223

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