LOVEJOY SURGICENTER INC NPI 1356779623

NPI Information

NPI: 1356779623
Provider Name: LOVEJOY SURGICENTER INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
933 NW 25TH AVE
PORTLAND, OR
ZIP 97210
Phone: (503) 221-1870
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LOVEJOY SURGICENTER INC is a durable medical equipment medical supplies in Portland, 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. LOVEJOY SURGICENTER INC NPI is 1356779623. The provider is registered as an organization entity type.

The provider's business location address is:

933 NW 25TH AVE
PORTLAND, OR
ZIP 97210-829
Phone: (503) 221-1870
Fax: (503) 221-1488

The provider's authorized official is Greg Klass .
The authorized official title is Director and has the following contact phone number (971) 340-2995.

The enumeration date for this NPI number is 10/24/2013 and was last updated on 10/24/2013.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies		07-0978	OREGON	Yes

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
1	187153	MEDICAID	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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