MULTNOMAH COUNTY OREGON
Medical Equipment Supplier Yellow Pages
Portland, Oregon
Provider NPI: 1306851191
Organization Information:Organization Name: MULTNOMAH COUNTY OREGON
Practice Location:
12710 SE DIVISION ST PORTLAND, OR 97236 US
Tel: 503-988-3608 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
12710 SE DIVISION ST PORTLAND, OR 97236 US
Tel: 503-988-3608 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers Pharmacy Clinic Pharmacy | ||
N | 3336C0003X | Suppliers Pharmacy | ||
Y | 333600000X | Suppliers Pharmacy | OR | RP-0001123-CS |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2078377 | 01 | |
025192 | OR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin