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DR. LARRY MARTIN NPI 1194939405


NPI Information

NPI: 1194939405
Provider Name: DR. LARRY MARTIN

Other Name: LBL ESD

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
905 4TH AVE SE
ALBANY, OR
ZIP 97321
Phone: (541) 812-2600
Get Directions

DR. LARRY MARTIN is a durable medical equipment medical supplies in Albany, 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. DR. LARRY MARTIN NPI is 1194939405. The provider is registered as an organization entity type.
The provider Other Name Is Lbl Esd.

The provider's business location address is:

905 4TH AVE SE
ALBANY, OR
ZIP 97321-104
Phone: (541) 812-2600
Fax: (541) 926-6047

The provider's authorized official is Jon E Taylor .
The authorized official title is Business Services Director and has the following contact phone number (541) 812-2600.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/22/2020.


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
1332B00000XDurable Medical Equipment & Medical Supplies062028OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NEW APPLICATIONMEDICAIDOREGON

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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