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OPTUM INFUSION SERVICES 404, LLC

Medical Equipment Supplier Yellow Pages

Bend, Oregon

Provider NPI: 1972640712

Organization Information:
Organization Name:  OPTUM INFUSION SERVICES 404, LLC


Practice Location:
2065 NE WILLIAMSON COURT, UNIT B  BEND, OR 97701 US
Tel: 877-212-3516  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332BP3500XSuppliers
Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition
ORRP-0001153-CS
N3336S0011XSuppliers
Pharmacy
ORRP-0001153-CS
Y3336H0001XSuppliers
Pharmacy
ORRP-0001153-CS

Other Provider Identifiers:

IssuerNumberStateType
006044OR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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