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

Pediatric Orthotic and Prosthetic Services - Northwest, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1851669584

Pediatric Orthotic and Prosthetic Services - Northwest, LLC is a Prosthetic/Orthotic Supplier in Portland, Oregon. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3101 SW Sam Jackson Park Rd
Portland, OR 97239-3009
Phone: (503) 221-3430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1851669584
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPediatric Orthotic and Prosthetic Services - Northwest, LLC
Authorized official Todd Dewees — Manager · (503) 221-3430
NPI enumeratedDecember 8, 2011
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing addressPo Box 947109, Atlanta, GA 30394-7109

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