HEALTHCARE MEDICAL SUPPLY NPI 1396014064

NPI Information

HEALTHCARE MEDICAL SUPPLY 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. HEALTHCARE MEDICAL SUPPLY NPI is 1396014064. The provider is registered as an organization entity type.

The provider's business location address is:

4000 SE 82ND AVE
SUITE 1500
PORTLAND, OR
ZIP 97266-924
Phone: (503) 772-5333
Fax: (503) 772-5366

The provider's authorized official is Pavel Foksha .
The authorized official title is President and has the following contact phone number (503) 772-5333.

The enumeration date for this NPI number is 12/23/2011 and was last updated on 12/23/2011.

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:

Other Identifiers

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

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