Provider Demographics
NPI:1245277813
Name:ORPRO INC
Entity type:Organization
Organization Name:ORPRO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:HAMONTREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-863-1951
Mailing Address - Street 1:17310 REDHILL AVENUE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5642
Mailing Address - Country:US
Mailing Address - Phone:949-863-1951
Mailing Address - Fax:949-863-1419
Practice Address - Street 1:3900 W BROADWAY
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-2145
Practice Address - Country:US
Practice Address - Phone:918-682-7621
Practice Address - Fax:918-682-3652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKS1303858062Medicaid
OKS1303858062Medicaid