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

Pacific Footwear Company, Inc

Organization Customized Equipment (DME) · NPI 1841581717

Pacific Footwear Company, Inc is a Customized Equipment (DME) in Medford, Oregon. Registered with an NPI since 2011.

In the registry since
2011
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

955 Town Centre Dr Ste A
Medford, OR 97504-6188
Phone: (547) 608-7400
Fax: (541) 608-7600
Show map & directions

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 number1841581717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Clarke — President · (503) 524-9656
Other names Priority Footwear & Pedorthic Services
NPI enumeratedApril 27, 2011
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address10240 Sw Nimbus Ave, Suite L1, Portland, OR 97223-4358

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