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Contact Information

CUSTOM ORTHOTIC SOLUTIONS, INC.
784 NANTUCKET AVE
EUGENE, OR97404
 Phone: 541-790-2092
 Fax: 541-636-5352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for CUSTOM ORTHOTIC SOLUTIONS, INC.

NPI # 1144609009
LBN Legal business name CUSTOM ORTHOTIC SOLUTIONS, INC.
Authorized official MELANIE CARLONE - (OWNER/PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2015
Last updated 05/17/2018 - About 8 years ago
Identifiers
OR License # 06505
OR Medicaid 500736150
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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