Organization Name: | DOUGLAS MEDICAL EQUIPMENT SUPPLY |
NPI Number: | 1063890382 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELE E TORVIK (ABCT COO) |
Mailing Address: | 1950 Waite St North Bend |
State: | OR US |
Postal Code: | 974591228 |
Phone Number: | 5417569014 |
Fax Number: | 5417569015 |
NPI Enumeration Date: | 05/07/2015 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | 500643-94 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |