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STATESERV MEDICAL OF OREGON LLC NPI 1013291657


NPI Information

NPI: 1013291657
Provider Name: STATESERV MEDICAL OF OREGON, LLC

Other Name: STATESERV MEDICAL LLC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
26100 SW 95TH AVE
SUITE 200
WILSONVILLE, OR
ZIP 97070
Phone: (503) 729-2371
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STATESERV MEDICAL OF OREGON, LLC is a durable medical equipment medical supplies in Wilsonville, OR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. STATESERV MEDICAL OF OREGON, LLC NPI is 1013291657. The provider is registered as an organization entity type.
The provider Other Name Is Stateserv Medical Llc.

The provider's business location address is:

26100 SW 95TH AVE
SUITE 200
WILSONVILLE, OR
ZIP 97070
Phone: (503) 729-2371
Fax: (503) 598-9737

The provider's authorized official is Christopher Roode .
The authorized official title is Coo and has the following contact phone number (877) 633-7250.

The enumeration date for this NPI number is 9/30/2011 and was last updated on 10/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNPC-0003526OREGONNo
2332B00000XDurable Medical Equipment & Medical SuppliesOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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